# LARRY BENNETT MEDICAL L L C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093896029
- **Authorized official:** DR. LARRY M BENNETT M.D. (OWNER)
- **Authorized official phone:** (989) 773-4433

## Contact information

- **Practice address:** 217 W BROADWAY ST, MT PLEASANT, MI 48858-2576
- **Practice address phone:** (989) 773-4433
- **Practice address fax:** (989) 772-9522
- **Mailing address:** 217 W BROADWAY ST, MT PLEASANT, MI 48858-2576
- **Mailing address phone:** (989) 773-4433
- **Mailing address fax:** (989) 772-9522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 10/18/2023