Individual
GINGER KAY BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 WASHINGTON ST, PORTLAND, MI 48875-1147
(517) 526-4826
Mailing address
321 WASHINGTON ST, PORTLAND, MI 48875-1147
(517) 526-4826
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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