Individual
MICHAEL EDWARD BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7545 BEECHMONT AVE, SUITE C, CINCINNATI, OH 45255
(513) 564-4027
(513) 564-4027
Mailing address
7545 BEECHMONT AVE, SUITE C, CINCINNATI, OH 45255-4222
(513) 564-4026
(513) 564-4027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA307
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076132
—
OH
05
—
95003075
—
KY
Enumeration date
10/06/2006
Last updated
12/05/2014
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