Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 63260 | MN |
Y | 207VX0000X | Obstetrician | 4301043155 | MI |
NPI | 1386699494 |
---|---|
Provider Name | Dr. Danny Benjamin |
First Address | Commerce Twp, MI 48382-4489 |
Second Address | Commerce Twp, MI 48382-4489 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2732549 | (05) | MI |
B49029 | (02) | MI |