Healthcare Provider Details

I. General information

NPI: 1407962178
Provider Name (Legal Business Name): DON MICHAEL BENSON SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 EMBASSY PARKWAY SUITE 202A AKRON
AKRON OH
44333
US

IV. Provider business mailing address

131 VICARY HILL LN NE CANTON
CANTON OH
44714-1240
US

V. Phone/Fax

Practice location:
  • Phone: 330-670-4185
  • Fax:
Mailing address:
  • Phone: 330-493-0448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number35028774
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: