BRENT BENSO

GRAND RAPIDS, MI
NPI1376965582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006815)
Enumeration Date2014-01-08
Last Update Date2014-01-08
Business Address
-- BRENT BENSO
25 MICHIGAN ST NE SUITE 6100
GRAND RAPIDS, MI 49503-2515
Phone number: 616-267-7900
Mailing Address
-- BRENT BENSO
100 MICHIGN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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