Individual
DR. JOHN ANDREW BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904
(920) 303-3266
(920) 456-5590
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-3266
(920) 456-5590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53762-021
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
53762-021
WI
Other
Enumeration date
07/07/2008
Last updated
11/22/2021
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