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Organization

RICHARD H BENNINGER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD HUGH BENNINGER MD (OPHTHALMOLOGIST)
(616) 459-3713
Entity
Organization

Contact information

Practice address
833 MICHIGAN ST NE STE 101, GRAND RAPIDS, MI 49503-2578
(616) 459-3713
(616) 459-3716
Mailing address
833 MICHIGAN ST NE STE 101, GRAND RAPIDS, MI 49503-2578
(616) 459-3713
(616) 459-3716

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003291
MI
207W00000X
Ophthalmology Physician
Primary
4301030073
MI

Other

Enumeration date
10/27/2006
Last updated
11/19/2018
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