Individual
ILYES BENCHAALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R, SUITE 917, DETROIT, MI 48201-2020
(313) 745-4525
(313) 745-0011
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088059
MI
207RR0500X
Rheumatology Physician
Primary
4301088059
MI
Other
Enumeration date
12/07/2009
Last updated
02/18/2022
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