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NPI Code Detail

MEDICARE: DR. THOMAS JOHN BENDER MD, PHD

MEDICARE: DR. THOMAS JOHN BENDER MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine Physician0101246099VA
22083X0100XOccupational Medicine Physician2011-00668NC
32083X0100XOccupational Medicine Physician4301104078MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11209568OTHERMEDICAL REVIEW OFFICER CERTIFICATION COUNCIL (MROCC)

General Provider Information

NPI Number : 1700032554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS JOHN BENDER MD, PHD
Provider Business Mailing Address
First Line : 4600 OAKRIDGE DR
Second Line :
City : MIDLAND
State : MI
Zip : 48640-1914
Country : US
Telephone Number : 989-600-9785
Fax Number : 989-214-7306
Provider Business Practice Location Address
First Line : 1200 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5756
Country : US
Telephone Number : 989-895-2062
Fax Number : 989-214-7306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 03/13/2020

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