Bennett L Willard in Grand Rapids - Pain Medicine
Bennett L Willard - NPI 1134186513
Bennett L Willard is a Pain Medicine in Grand Rapids, Michigan. Bennett L Willard practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Bennett L Willard is 1134186513. The last update date is 2021-05-06.
Bennett L Willard's current location address is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. You can contact this provider via phone number 6169402662 and fax number 6169401965. The mailing address for Bennett L Willard is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bennett L Willard |
|---|---|
| Address | 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1134186513 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 5555 Glenwood Hills Pkwy Se Ste 2 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495122091 |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | 5101008161 |
|
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 555410027 | MI | BCBSM | |
| 4610008-11 | MI | -- | |
| 4535360-11 | MI | -- | |
| 4609992-11 | MI | -- | |
| 5212687-11 | MI | -- |
Post Comment/ Review Below
What is the Bennett L Willard's unique identification number?
The Bennett L Willard has been assigned the NPI (National Provider Identifier) Number 1134186513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Bennett L Willard is physically located?
The Bennett L Willard is situated at the following address: 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 495122091.
What is Bennett L Willard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bennett L Willard's specialized field of practice is Pain Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Lp2900X.
On what date did Bennett L Willard receive its 1134186513 assignment from the Centers for Medicare & Medicaid Services?
The Bennett L Willard was assigned its 1134186513 on 2006-04-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bennett L Willard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bennett L Willard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-05-06.
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