Individual
STEVEN R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 76TH ST STE 300, EDINA, MN 55435-6215
(952) 929-1131
(952) 897-1178
Mailing address
7760 FRANCE AVE S, STE 310, MINNEAPOLIS, MN 55435-5800
(952) 929-1131
(952) 897-1178
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33482
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118800300
—
MN
05
—
31661600
—
WI
Enumeration date
10/12/2005
Last updated
11/13/2024
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