Individual
DR. JULIE MICHELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 SPRING ST, APT. #317, SAINT PAUL, MN 55102-4437
(651) 252-8689
Mailing address
400 SPRING ST, APT. #317, SAINT PAUL, MN 55102-4437
(651) 252-8689
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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