Individual
DR. TIMOTHY BENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11100 EUCLID AVE RM 838, CLEVELAND, OH 44106-1716
(216) 844-3645
Mailing address
11100 EUCLID AVE RM 838, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34.012865
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
02/03/2022
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