Individual
JESSICA MILEY BENSENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR CANCER CENTER, ANN ARBOR, MI 48109-5916
(734) 936-6000
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301097942
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2011
Last updated
07/18/2011
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