Individual
DR. BENJAMIN LEVERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 LAPEER RD, PORT HURON, MI 48060-2558
(810) 985-0084
Mailing address
2915 LAPEER RD, PORT HURON, MI 48060-2558
(810) 985-0084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008628
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383622046
TAX ID
MI
Enumeration date
08/03/2006
Last updated
07/09/2007
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