Benson, Mark Russell
Benson, Mark Russell is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr , Ann Arbor MI 48105-9484. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Benson, Mark Russell can be contacted via phone (734) 998-7400.Contact Information
Primary practice address
24 Frank Lloyd Wright Dr
Ann Arbor MI 48105-9484
Phone: (734) 998-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301073187 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301073187 | Michigan |
Profile Details
| NPI number | 1548226616 |
|---|---|
| LBN Legal business name | Benson, Mark Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Dec 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548226616 | NPPES |
| Michigan | MEDICAID | 4776776 |
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