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Individual

BENO MICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23250 CHAGRIN BLVD, SUITE 350, BEACHWOOD, OH 44122-5470
(216) 765-7474
(216) 765-7484
Mailing address
23250 CHAGRIN BLVD, SUITE 350, BEACHWOOD, OH 44122-5470
(216) 765-7474
(216) 765-7484

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
35031398
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154836
OH
Enumeration date
09/27/2006
Last updated
07/08/2007
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