Individual
JASON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0880
(989) 348-0881
Mailing address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0880
(989) 348-0881
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101017772
MI
Other
Enumeration date
08/15/2008
Last updated
11/24/2025
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