Individual
MICHAEL SCOTT BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SOUTH FRONT STREET, HARRISBURG, PA 17104-8700
(717) 782-5640
(717) 782-5352
Mailing address
4520 UNION DEPOSIT RD, HARRISBURG, PA 17111-2910
(717) 652-6105
(717) 652-2165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD019627E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009526500001
—
PA
05
—
0009526500003
—
PA
Enumeration date
08/30/2005
Last updated
01/25/2008
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