Organization
LESLIE M BENNETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE M BENNETT MD (PRESIDENT)
(517) 425-9274
Entity
Organization
Contact information
Practice address
12 E BACON ST, HILLSDALE, MI 49242-1616
(517) 437-7040
(517) 437-7617
Mailing address
2861 LAKEVIEW CT, PO BOX 821, HILLSDALE, MI 49242-9327
(517) 425-9274
(517) 437-7617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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