Individual
JUSTIN GORDON BENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4717 SAINT ANTOINE ST, DETROIT, MI 48201-1423
(313) 577-8900
Mailing address
14091 MERCI AVE, STERLING HEIGHTS, MI 48313-5586
(586) 295-7031
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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