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Individual

MICHAEL DARREN BENNETT

Active
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Individual

MICHAEL DARREN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD10612
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E0215904
HMSA WAHIAWA LOC PROV#
HI
01
—
00I0215906
HMSA KONA LOCATION PROV#
HI
01
—
00K0215901
HMSA HONOLULU PROV#
HI
01
—
00L0215909
HMSA QUEENS LOC PROV#
HI
05
—
25205301
—
HI
05
—
25205302
—
HI
05
—
25205304
—
HI
Enumeration date
04/14/2006
Last updated
03/20/2020
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