Individual
MR. BENJAMIN WILLIAM DEMPSEY-KLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
G2138 WEST CARPENTER RD, FLINT, MI 48505
(801) 760-5076
Mailing address
11600 E 7 MILE RD, DETROIT, MI 48205-2112
(313) 372-5974
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704285603
MI
363LP0200X
Pediatric Nurse Practitioner
4704285603
MI
Other
Enumeration date
11/20/2014
Last updated
08/02/2018
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