Individual
JACQUELINE M BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1110 S OXFORD RD, GROSSE POINTE WOODS, MI 48236-1871
(313) 588-2986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003068
MI
363AS0400X
Surgical Physician Assistant
085003068
IL
Other
Enumeration date
09/27/2007
Last updated
10/16/2017
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