Individual
DR. BENNETT CLARK OSANTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(248) 320-0474
Mailing address
1605 BRANDYWINE DR, BLOOMFIELD HILLS, MI 48304-1109
(248) 320-0474
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/05/2020
Last updated
06/10/2024
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