Individual provider · Type 1 NPI

Bennett Clark Osantowski, MD

Student in an Organized Health Care Education/Training Program · Ypsilanti, MI

NPI number 1730718404 Active

Practice location

5301 Mcauley Dr
Ypsilanti, MI 48197-1051

Mailing address

1605 Brandywine Dr
Bloomfield Hills, MI 48304-1109

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730718404

Bennett Clark Osantowski, MD's National Provider Identifier is 1730718404, issued on Apr 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ypsilanti, MI. The record was last updated on Jun 10, 2024.