Individual
MR. KIM FREDERICK BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
38904 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-2890
(586) 978-8240
(586) 978-1417
Mailing address
38904 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-2890
(586) 978-8240
(586) 978-1417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F323320
BLUE CROSS
—
Enumeration date
11/07/2006
Last updated
11/13/2014
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