Individual
ADAM BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAS
Contact information
Practice address
7835 3RD ST N STE 209, OAKDALE, MN 55128-5445
(651) 327-0849
Mailing address
7835 3RD ST N STE 209, OAKDALE, MN 55128-5445
(651) 327-0849
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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