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1730718404
BENNETT CLARK OSANTOWSKI
YPSILANTI, MI
NPI
1730718404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-05
Last Update Date
2024-06-10
Business Address
Dr. BENNETT CLARK OSANTOWSKI MD
5301 MCAULEY DR
YPSILANTI, MI 48197-1051
Phone number: 248-320-0474
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Mailing Address
Dr. BENNETT CLARK OSANTOWSKI MD
1605 BRANDYWINE DR
BLOOMFIELD HILLS, MI 48304-1109
Phone number: 248-320-0474
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