Individual
DR. JENNIFER S MOLL-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9147
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01069488A
IN
207L00000X
Anesthesiology Physician
Primary
11013774A
IN
Other
Enumeration date
07/14/2008
Last updated
07/11/2016
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