Individual
DR. BENJAMIN THOMAS GIELDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8888
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8888
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301101556
MI
2085R0203X
Therapeutic Radiology Physician
125051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386801496
—
MI
Enumeration date
05/18/2008
Last updated
03/17/2015
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