Individual
DR. WILLIAM MICHAEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13935 PLUMBROOK ROAD, STERLING HEIGHTS, MI 48312
(586) 939-9900
(586) 939-8246
Mailing address
13935 PLUMBROOK ROAD, STERLING HEIGHTS, MI 48312
(586) 939-9900
(586) 939-8246
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002120
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010955
CAPE HEALTH PLAN
MI
01
—
024862
MIDWEST HEALTH PLAN
MI
01
—
138116
CARE CHOICES
MI
01
—
157017
GREAT LAKES HEALTH PLAN
MI
01
—
200826048
UNITED HEALTHCARE
MI
01
—
4618712
MOLINA
MI
05
—
4927665
—
MI
05
—
5209654
—
MI
01
—
540E020630
BCBSM DME SUPPLIER ID
MI
01
—
5501280
BCBSM
MI
01
—
7928302
AETNA
MI
01
—
DOL/WORKERS COMP
611794800
MI
01
—
P00433820
RAILROAD MEDICARE
MI
01
—
P00459715
RAILROAD MEDICARE
MI
01
—
U85210
HEALTH ALLANCE PLAN
MI
Enumeration date
06/24/2005
Last updated
07/29/2013
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