Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 70827 | WI |
N | 207V00000X | Obstetrician & Gynecologist | 70827-20 | WI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 70827-20 | WI |
N | 208200000X | Surgeon | 70827 | WI |
N | 208600000X | Surgeon | 70827 | WI |
N | 2086S0127X | Trauma Surgeon | 70827 | WI |
NPI | 1033453600 |
---|---|
Provider Name | Dr. Michael Joseph Beninati |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53715-1507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2012 |
Last Update Date | 10/02/2022 |