NPI 1265407191
Matthew Todd Benton, CORPSMAN
Practice location
- Address
- 1175 Airport Access Rd, Traverse City, MI 49686-3513
- Phone
- (231) 922-8282
- Fax
- (231) 922-8292
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1265407191
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Feb 2006
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.