IndividualActive
Bennett Riddering, MD
NPI 1205329679 · Family Medicine Physician · Walker, MI
Provider details
- NPI number
- 1205329679
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4351028822 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1175 Wilson Ave Nw
Walker, MI 49534-6407
Phone: (616) 685-8650
Approximate (ZIP-level) locationGet directions
Mailing address
26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849
Additional practice locations (2)
- 15777 Northline Rd Ste 202Southgate, MI 48195-2354Phone: (734) 246-8100Fax: (734) 246-8621
- 33155 Annapolis StWayne, MI 48184-2405Phone: (734) 467-4000
Registry dates
- Enumerated
- 2018-06-11
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.