Individual
DR. DANIEL MICHAEL BENEDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E. 33RD STREET, SUITE 100, VANCOUVER, WA 98663
(208) 367-6030
(208) 367-6123
Mailing address
100 E. 33RD STREET, SUITE 100, VANCOUVER, WA 98663
(360) 514-7550
(208) 367-6123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60255737
WA
207Q00000X
Family Medicine Physician
MR-0864
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807490400
—
ID
Enumeration date
07/09/2006
Last updated
01/20/2015
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