Individual
JEFFREY A BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 BURDETTE ST, SAINT IGNACE, MI 49781-1712
(906) 643-8585
(906) 643-0463
Mailing address
303 DEVON DR, SAINT LOUIS, MI 48880-9428
(906) 643-8585
(906) 643-0463
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301074016
MI
207Q00000X
Family Medicine Physician
4301074016
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4482131
—
MI
Enumeration date
07/27/2006
Last updated
02/26/2008
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