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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548226616 NPPES
Michigan MEDICAID 4776776

Popular Providers