Individual
ELIZA A. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 S PARK ST, OB/GYN CLINIC, MADISON, WI 53715-1348
(608) 287-2830
Mailing address
1 SOUTH PARK SUITE 555, UNIVERSITY OF WISCONSIN DEPARTMENT OF OB/GYN, MADISON, WI 53715-1349
(608) 287-2494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
51413-20
WI
Other
Enumeration date
06/20/2006
Last updated
01/04/2021
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