Individual
CHERIE A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 MICHIGAN AVE, SUITE 170, LOGANSPORT, IN 46947-1580
(574) 722-4331
Mailing address
1201 MICHIGAN AVE, SUITE 170, LOGANSPORT, IN 46947-1580
(574) 722-4331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01057933A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000300896
ANTHEM
IN
05
—
200447360
—
IN
Enumeration date
01/17/2006
Last updated
08/01/2011
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