Individual
ANDREW BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
362 MERIDIAN PARKE LN STE A, GREENWOOD, IN 46142-9425
(317) 528-8760
(317) 528-8761
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078931A
IN
Other
Enumeration date
06/12/2014
Last updated
03/05/2025
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