| Benzie-leelanau District Health Department | |
|
6051 Frankfort Hwy Suite 100 Benzonia MI 49616-9558 | |
| (231) 882-2116 | |
| (231) 882-2204 |
| Full Name | Benzie-leelanau District Health Department |
|---|---|
| Speciality | Dentist |
| Location | 6051 Frankfort Hwy, Benzonia, Michigan |
| Authorized Official Name and Position | Daniel R. Thorell (HEALTH OFFICER) |
| Authorized Official Contact | 2318824409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benzie-leelanau District Health Department 6051 Frankfort Hwy Suite 100 Benzonia MI 49616-9558 Ph: (231) 882-2116 | Benzie-leelanau District Health Department 6051 Frankfort Hwy Suite 100 Benzonia MI 49616-9558 Ph: (231) 882-2116 |
| NPI Number | 1003358482 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003358482 | NPI | - | NPPES |
| 1881719086 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019190 (Michigan) | Primary |
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