Individual
MR. PETER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 COUNTY ROAD 29, SANDSTONE, MN 55072-5161
(320) 245-6234
Mailing address
2300 COUNTY ROAD 29, SANDSTONE, MN 55072-5161
(320) 245-6234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
113304-4
MN
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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