Individual
TAKAKO BENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CHRYSLER SERVICE DR, SUITE 5-A, 538.4, DETROIT, MI 48201
(313) 577-7523
Mailing address
251 E MERRILL ST, STE 230, BIRMINGHAM, MI 48009-6116
(248) 949-0484
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
FS2398510
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
07/02/2021
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