Individual
BENJAMIN D WILLENBRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
359 DIVISION AVE S, GRAND RAPIDS, MI 49503-4537
(616) 685-3800
(616) 235-0913
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301106839
MI
Other
Enumeration date
06/29/2012
Last updated
08/29/2016
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