Individual
MRS. MICHELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
701 TECH CENTER DR, GAHANNA, OH 43230-1987
(614) 396-2684
(614) 396-2480
Mailing address
701 TECH CENTER DR STE 250, GAHANNA, OH 43230-1987
(614) 944-4800
(614) 944-4750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004215RX
OH
Other
Enumeration date
02/06/2006
Last updated
04/20/2020
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