Female

Dr. Melissa K. Benbow MD

Pediatrics Physician in Lansing, MI(View on Map)

Full Name

Dr. Melissa Kay Benbow MD

NPI Number

1053564617

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/28/2008

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Michigan
Ohio

License Number

4301104293
35.095877

Contact
Information

Purpose

Mailing
Location

Address

804 SERVICE RD A201
13750 S SEDONA PKWY

City

East Lansing
Lansing

State

MI
MI

Postal Code

48824-7015
48906-8101

Country

US
US

Telephone Number

(517) 884-2976
(517) 669-9758

Identifiers

Identifier

57-014989
1053564617
4301104293
35.095877

Identifier State

OH
MI
MI
OH

Identifier Issuer

TRAINING CERTIFICATE
Unknown
MI MEDICAL LICENSE
OHIO STATE MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/23/2023

Provider Address

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