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Contact Information

WILLIAM M BENNETT, DPM
13935 PLUMBROOK ROAD
STERLING HEIGHTS, MI48312
 Phone: 586-939-9900
 Fax: 586-939-8246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for WILLIAM M BENNETT · (Male)

NPI Number 1073519047
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/24/2005
Last updated 07/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901002120
  • MI Medicaid 4927665
  • MI Medicaid 5209654
  • MI Other DOL/WORKERS COMP 611794800
  • MI Other 7928302 AETNA
  • MI Other 5501280 BCBSM
  • MI Other 540E020630 BCBSM DME SUPPLIER ID
  • MI Other 000000010955 CAPE HEALTH PLAN
  • MI Other 138116 CARE CHOICES
  • MI Other 157017 GREAT LAKES HEALTH PLAN
  • MI Other U85210 HEALTH ALLANCE PLAN
  • MI Other 024862 MIDWEST HEALTH PLAN
  • MI Other 4618712 MOLINA
  • MI Other P00433820 RAILROAD MEDICARE
  • MI Other P00459715 RAILROAD MEDICARE
  • MI Other 200826048 UNITED HEALTHCARE
Hospital affiliation(s)
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
  • ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER - (Acute Care)
    11800 EAST TWELVE MILE ROAD
    WARREN, MI 48093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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