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Individual

BENNETT WERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
721 E MILLTOWN RD, WOOSTER, OH 44691-1255
(330) 287-4550
(330) 287-4691
Mailing address
1740 CLEVELAND RD, WOOSTER, OH 44691-2204
(330) 287-4500

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35044613
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0431974
OH
Enumeration date
01/05/2007
Last updated
04/01/2008
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