Individual
DR. BRETT BARRY BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5701 BOW POINTE DR STE 215, CLARKSTON, MI 48346-5400
(248) 620-3376
(248) 620-3379
Mailing address
5701 BOW POINTE DR STE 215, CLARKSTON, MI 48346-5400
(248) 620-3376
(248) 620-3379
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101016359
MI
207N00000X
Dermatology Physician
MED-PHYS-LIC-167368
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756319375
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/27/2007
Last updated
04/15/2026
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