Individual
DR. BENNETT GEORGE RIDDERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 WILSON AVE NW, WALKER, MI 49534-6407
(616) 685-8650
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351028822
MI
Other
Enumeration date
06/11/2018
Last updated
07/10/2024
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