Individual
DR. JOSE WILSON BENEVIDES DE MESQUITA NETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-4195
(313) 993-8669
Mailing address
5102 BUCKINGHAM, TROY, MI 48098-2610
(313) 329-8899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45215
AL
390200000X
Student in an Organized Health Care Education/Training Program
4301113123
MI
Other
Enumeration date
07/07/2017
Last updated
03/29/2023
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