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Individual
BENNETT JOHN PASTIKA
Active
Individual
BENNETT JOHN PASTIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036077460
IL
207RG0100X
Gastroenterology Physician
Primary
35507
WI
Other
Enumeration date
09/21/2005
Last updated
07/01/2024
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