Individual
CHRISTOPHER A BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 975-1845
(616) 285-0846
Mailing address
2537 MOMENTUM PL, CHICAGO, IL 60689-5325
(616) 391-1680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301092261
MI
208000000X
Pediatrics Physician
4301092261
MI
Other
Enumeration date
06/16/2008
Last updated
12/06/2016
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