Individual
MAX P BENZAQUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14377 WOODLAKE DR STE 308, CHESTERFIELD, MO 63017-5735
(314) 878-8744
(314) 878-2234
Mailing address
14377 WOODLAKE DR STE 308, CHESTERFIELD, MO 63017-5735
(314) 878-8744
(314) 878-2234
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
100507
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10730
BC
—
01
—
187999
HEALTHLINK
—
Enumeration date
12/06/2005
Last updated
06/19/2025
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