Individual
ROBERTO BENEJAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13700 MICHIGAN AVE, DEARBORN, MI 48126-3489
(313) 581-8442
(313) 581-8486
Mailing address
13700 MICHIGAN AVE, DEARBORN, MI 48126-3489
(313) 581-8442
(313) 581-8486
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301053915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2764248
—
MI
Enumeration date
12/05/2006
Last updated
07/09/2007
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