NPI 1134186513

Bennett L Willard, DO

Practitioner Interventional Pain Medicine Physician Grand Rapids, MI

Practice location

Address: 2060 E Paris Ave SE STE 200, Grand Rapids, MI 49546-6113
Phone: (616) 285-1377
Fax: (616) 285-1154
Mailing address: 5555 Glenwood Hills Pkwy SE STE 2, Grand Rapids, MI 49512-2091

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 5101008161 (MI)

Other Pain Medicine providers in Michigan →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 5101008161 (MI)

Other Anesthesiology providers in Michigan →

Registry record

NPI: 1134186513
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2006
Record last updated: 6 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.