Individual
DR. MICHAEL C BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(253) 968-2252
Mailing address
3433 HERA ST NE, LACEY, WA 98516-4505
(208) 406-8731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1700
NE
207P00000X
Emergency Medicine Physician
Primary
OP61438606
WA
Other
Enumeration date
01/23/2016
Last updated
03/28/2024
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