Individual
DR. BENN GILMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39525 W 14 MILE RD, STE 101, NOVI, MI 48377
(248) 926-6673
(248) 926-6683
Mailing address
39525 W 14 MILE RD, STE 101, NOVI, MI 48377
(248) 926-6673
(248) 926-6683
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301029992
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2637970
—
MI
Enumeration date
01/03/2006
Last updated
07/08/2007
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