Individual
DR. DAVID BENKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26771 W 12 MILE RD, SOUTHFIELD, MI 48034-1539
(248) 746-0010
(248) 746-9588
Mailing address
26771 W 12 MILE RD, SOUTHFIELD, MI 48034-1539
(248) 746-0010
(248) 746-9588
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301038180
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0631045
BCBS INDIVIDUAL
MI
05
—
1982688693
—
MI
01
—
700F314390
BLUE SHIELD
MI
Enumeration date
12/06/2005
Last updated
02/16/2011
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