Individual
DR. BRIAN ANTHONY BENENATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4717 SAINT ANTOINE ST, DETROIT, MI 48201-1423
(313) 577-8900
Mailing address
37196 CAMELLIA LN, CLINTON TOWNSHIP, MI 48036-2016
(586) 226-0902
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301506694
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/15/2018
Last updated
03/14/2023
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