Individual
MR. PATRICK STEPHEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
5280 METRO PKWY, STERLING HEIGHTS, MI 48310-4005
(586) 722-7519
Mailing address
182 GREGG DR, BATTLE CREEK, MI 49014-7829
(269) 589-2374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704360346
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704360346
MI
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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