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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK BENNETT

Active Sole Proprietor

MARK BENNETT is a Hospice Care, Community Based healthcare provider located in BERKLEY, Michigan. NPI 1245609817 is currently active in the NPPES registry. Verify at CMS.

Hospice Care, Community Based · BERKLEY, MI

Registration Details

NPI Number
1245609817
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2015 (10.914203260437 yrs)
Last Updated
Sep 24, 2015
License
4703085015 (MI)
Sole Proprietor
Yes

Practice Information

Address
2766 W 11 MILE RD STE 2
BERKLEY, MI, 480723033
Browse MI providers · Browse ZIP 48072
Phone
2485422424
Primary Specialty
Hospice Care, Community Based
251J00000X
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.