Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENNETT L WILLARD, DO
ActiveBENNETT L WILLARD, DO is a Interventional Vascular Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1134186513 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1134186513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2006 (20.305932447865 yrs)
- Last Updated
- May 6, 2021
- Licenses
-
5101008161 (MI)5101008161 (MI)
Practice Information
- Address
-
2060 E PARIS AVE SE STE 200GRAND RAPIDS, MI, 495466113Browse MI providers · Browse ZIP 49546
- Phone
- 6162851377
- Fax
- 6162851154
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| SCOTT HOWARD GREENWALD | MD | 1225007206 |
| MARK LOUIS GOSTINE | MD | 1619938545 |
| KEVIN EDWARD FITZGERALD | MD | 1144281080 |
| JOSEPH YARED VANDEN BOSCH | MD | 1457315095 |
| STEPHEN LEE WINSTON | MD | 1376509158 |
| KEITH B JAVERY | DO | 1891892402 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.