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Organization
DAVID BENTZ LLC
Active
Organization
DAVID BENTZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BENTZ (DOCTOR)
(608) 784-2255
Entity
Organization
Contact information
Practice address
406 JACKSON ST, LA CROSSE, WI 54601-5321
(608) 784-2255
Mailing address
406 JACKSON ST, LA CROSSE, WI 54601-5321
(608) 784-2255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1954
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Z584BE
BCBS MN
MN
Enumeration date
03/02/2017
Last updated
03/02/2017
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