Individual
THEODORE BENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9224 PELHAM RD, TAYLOR, MI 48180-3832
(734) 284-7600
(313) 292-8430
Mailing address
9224 PELHAM RD, TAYLOR, MI 48180-3832
(734) 284-7600
(313) 292-8430
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649282
—
MI
01
—
4858255590
BCBSM
MI
Enumeration date
10/16/2006
Last updated
11/03/2020
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