Individual
DATHE Z BENISSAN-MESSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 293-8701
Mailing address
9405 BURT ST APT 51, OMAHA, NE 68114-2513
(402) 714-1023
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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