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Individual
CLINT BENGE
Active
Individual
CLINT BENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12693
SD
207X00000X
Orthopaedic Surgery Physician
94-08611
KS
207X00000X
Orthopaedic Surgery Physician
MD-49286
IA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
73163
WI
Other
Enumeration date
06/04/2015
Last updated
10/20/2025
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