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Individual

BRIAN BENENATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8542 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 455-8310
Mailing address
410 VILLAGE GREEN BLVD APT 203, ANN ARBOR, MI 48105-3613

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4351050792
MI
208D00000X
General Practice Physician
Primary
4301516257
MI

Other

Enumeration date
06/14/2023
Last updated
06/05/2026
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