Individual
DR. MICHAEL A BENEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 CAPITOL AVE, SUITE 402, SACRAMENTO, CA 95816-6004
(916) 262-9404
(916) 262-9410
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A62335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A623350
—
CA
Enumeration date
08/13/2006
Last updated
07/22/2015
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