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Individual

DR. DANIEL DAVID BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-0700
(608) 265-7759
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
55701
WI
207ND0900X
Dermatopathology Physician
55701
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1655383-03
TX
Enumeration date
03/23/2006
Last updated
01/05/2021
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