Individual
MRS. PATRICIA BENNETT WILLMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
(313) 578-4507
Mailing address
131 MORAN RD, GROSSE POINTE FARMS, MI 48236-3606
(313) 882-3143
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501001521
MI
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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