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Individual

BENNETT W YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16761 SOUTHPARK CENTER, FAMILY HEALTH & SURGICAL CENTER, STRONGSVILLE, OH 44136
(440) 878-2500
Mailing address
12018 DEER CREEK RUN, PLYMOUTH, MI 48170-2863
(734) 812-0889

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
D0039204
MD
207RH0003X
Hematology & Oncology Physician
Primary
ME117476
FL
207RX0202X
Medical Oncology Physician
0101235693
VA
207RX0202X
Medical Oncology Physician
ME117476
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009846800
FL
01
1184832040
GROUP NPI
MD
01
1224577
WELLCARE
FL
01
14S7L
BCBS
FL
01
1588778484
BCBSM - WMCC
MI
05
1609922343
MI
05
3092113
MI
01
370090
AVMED
FL
01
4575870
AETNA
FL
01
P01652182
RR MEDICARE
FL
Enumeration date
01/26/2007
Last updated
03/22/2022
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