Individual
MICHELE BENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7720 LIMA RD, FORT WAYNE, IN 46818-2163
(260) 482-8503
Mailing address
7720 LIMA RD, FORT WAYNE, IN 46818-2163
(260) 482-8503
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001413A
IN
Other
Enumeration date
04/01/2015
Last updated
12/21/2016
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