Individual
ORLANDO IVAN BENEDICT
Active
Individual
ORLANDO IVAN BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301060730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B51127
BLUE CROSS BLUE SHIELD
MI
05
—
4189664
—
MI
Enumeration date
08/23/2006
Last updated
09/24/2014
Update your record
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