Individual
NICHOLAS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15919
ND
208M00000X
Hospitalist Physician
Primary
72235
MN
Other
Enumeration date
04/15/2016
Last updated
08/21/2025
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