Individual
DENNIS ALLAN BANDEMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28455 HAGGERTY RD STE 200, NOVI, MI 48377-2982
(248) 893-3200
(248) 893-2950
Mailing address
28455 HAGGERTY RD STE 200, NOVI, MI 48377-2982
(248) 893-3220
(248) 893-2950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101015408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4898410
—
MI
Enumeration date
05/23/2006
Last updated
07/10/2023
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