Individual
CHRISTOPHER BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2739 GRANADA DR APT 1D, JACKSON, MI 49202-5245
(248) 760-3641
Mailing address
2739 GRANADA DR APT 1D, JACKSON, MI 49202-5245
(248) 760-3641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00200500
NJ
2255A2300X
Athletic Trainer
Primary
2601001373
MI
Other
Enumeration date
10/16/2014
Last updated
10/16/2014
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