Individual
DR. MICHAEL J BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
9309 GLACIER HWY STE A103, JUNEAU, AK 99801-9300
(907) 789-3175
(907) 789-1778
Mailing address
9309 GLACIER HWY STE A103, JUNEAU, AK 99801-9300
(907) 789-3175
(907) 789-1778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
188
AK
Other
Enumeration date
10/02/2006
Last updated
07/25/2008
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