NPI 1073519047 · live from the CMS NPI Registry
William Michael Bennett, DPM
Podiatrist in Sterling Heights, MI. National Provider Identifier 1073519047, active.
NPI record
| NPI | 1073519047 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 13935 Plumbrook Road, Sterling Heights, MI 48312 |
| Practice phone | 586-939-9900 |
| Enumerated | June 24, 2005 |
| Last updated | July 29, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 5901002120 (MI) |
| Podiatrist primary | 213E00000X | 5901002120 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.