Individual
DONALD ALBERT BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 336-3503
Mailing address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5046
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13561
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
01/13/2023
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