Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennett L Willard, DO

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1134186513

Bennett L Willard, DO is a Pain Medicine (Anesthesiology) Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2060 E Paris Ave SE Ste 200
Grand Rapids, MI 49546-6113
Phone: (616) 285-1377
Fax: (616) 285-1154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 5101008161 (MI)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 5101008161 (MI)

Record details

NPI number1134186513
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091

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