IndividualActive
Matthew Benton, CORPSMAN
NPI 1265407191 · Independent Duty Corpsman · Traverse City, MI
Provider details
- NPI number
- 1265407191
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- CORPSMAN
- Sex
- Male
Practice location
1175 Airport Access Rd
Traverse City, MI 49686-3513
Phone: (231) 922-8282
Fax: (231) 922-8292
Mailing address
1175 Airport Access Rd
Traverse City, MI 49686-3513
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.