| Doctor Name: | MICHAEL ROBERT BENSCH |
| NPI Number: | 1447219555 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 1037564 |
| Business Practice Address: | 710 B Tweady Ct Colts Neck, NJ - 07722 |
| Business Phone Number: | 7328662303 |
| Business Fax Number: | |
| Mailing Address: | 7255 Miller Rd, SWARTZ CREEK |
| State: | MI |
| Postal Code: | 484731531 |
| Phone Number: | 8106359211 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1037564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |