Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 4301100724 | MI |
NPI | 1114288206 |
---|---|
Provider Name | Scott Bendix |
First Address | Southfield, MI 48033-3849 |
Second Address | Farmington Hills, MI 48336-5969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 13/08/2020 |