Individual
DR. CHANCE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11108 PARKVIEW PLAZA DR STE 5100, FORT WAYNE, IN 46845-1701
(260) 266-2800
(260) 266-2805
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02009053A
IN
208600000X
Surgery Physician
HS000102L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
5101028055
MI
390200000X
Student in an Organized Health Care Education/Training Program
HS000102L
PA
Other
Enumeration date
06/02/2018
Last updated
08/03/2026
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