Individual
HEATHER JO BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5144 51ST ST NW, ROCHESTER, MN 55901-2163
(507) 282-3471
Mailing address
5144 51ST ST NW, ROCHESTER, MN 55901-2163
(507) 282-3471
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1632
MN
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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