# DR. DONALD RICHARD BENNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053482141
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 01047400A | IN | — |
| 2086S0102X | Surgical Critical Care Physician | D0070559 | TN | — |
| 2086S0102X | Surgical Critical Care Physician | ME124502 | FL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 0104700A | IN | — |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 10/24/2019