Individual
DR. SEBASTIAN A BENENATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
25990 KELLY ROAD, SUITE 4, ROSEVILLE, MI 48066
(586) 771-3550
(586) 771-0953
Mailing address
25990 KELLY RD, 4, ROSEVILLE, MI 48066
(586) 771-3550
(586) 771-0953
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SB001093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125480
—
MI
Enumeration date
08/14/2006
Last updated
07/08/2007
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