Organization
TAKAKO BENN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKAKO BENN MD (DIRECTOR)
(248) 248-9490
Entity
Organization
Contact information
Practice address
251 E MERRILL ST STE 230, BIRMINGHAM, MI 48009-6116
(248) 949-0484
(248) 773-8565
Mailing address
251 E MERRILL ST STE 230, BIRMINGHAM, MI 48009-6116
(248) 949-0484
(248) 773-8565
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
07/19/2021
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