Michael Benusa, IDC
NPI #1851762215 in Raeford, North Carolina
Provider Information
- NPI Number
- 1851762215
- Entity Type
- Individual
- Name
- Michael Benusa, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Oct 12, 2015
- Last Updated
- Oct 12, 2015
Practice Location
- Address
- 226 WOODLAND DR
- City
- Raeford
- State
- North Carolina
- ZIP Code
- 28376-5410
- Phone
- (910) 853-1290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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