Search › Michigan › 163W00000X
Derek Bennett
NPI 1770022873 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2547 W 8 Mile Rd
Detroit, MI 48203 - Phone
- (248) 961-1168
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan