Individual
RYAN PAUL BENTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1641 ROUTE 7 S, MIDDLEBURY, VT 05753-8806
(802) 377-2737
Mailing address
1641 ROUTE 7 S, MIDDLEBURY, VT 05753-8806
(802) 377-2737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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