Benedict A Doctor
MD | Pediatric Neonatal-Perinatal Medicine | Male
Benedict A Doctor, MD is a Grand Rapids, Michigan based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Benedict A Doctor is
100 Michigan St Ne, Mc 035, Grand Rapids, Michigan - 49503-2560. He can be contacted on phone at
616-391-1714 and fax number 616-391-1332.
Benedict A Doctor is a sole proprietor of his business.
NPI number (Unique professional ID) for Benedict A Doctor is
1164494878 which was assigned by NPPES on 06 Feb, 2006 and it was last updated on 21 Mar, 2011.
Benedict A Doctor license number is
4301075630 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Michigan.
Benedict A Doctor is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Benedict A Doctor basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Benedict A Doctor |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Benedict A Doctor address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Michigan St Ne, Mc 035
Grand Rapids, MI, 49503-2560
United States |
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| Phone Number : | 616-391-1714 |
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| Fax Number : | 616-391-1332 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164494878 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Feb, 2006 |
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| Last Updated On : | 21 Mar, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Benedict A Doctor are as mentioned. Primary taxonomy code for Benedict A Doctor, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 4301075630 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Benedict A Doctor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 4203389 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Michigan St Ne, Mc 035
Grand Rapids, MI, 49503-2560
United States |
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| Phone Number : | 616-391-1714 |
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| Fax Number : | 616-391-1332 |
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Business Location:
Patients can refer following map for directions to
Benedict A Doctor practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.