Organization
DAVID E. BENESON D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E. BENESON D.P.M. (PRESIDENT)
(248) 435-4777
Entity
Organization
Contact information
Practice address
2530 CROOKS RD, ROYAL OAK, MI 48073-3300
(248) 435-4777
(248) 435-3374
Mailing address
2530 CROOKS RD, ROYAL OAK, MI 48073-3300
(248) 435-4777
(248) 435-3374
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DB001099
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124060132
NPI (IND)
MI
01
—
1689791436
NPI
MI
05
—
2796798
—
MI
Enumeration date
03/26/2007
Last updated
06/29/2009
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