Individual
DR. CHRISTOPHER JOSEPH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101243375
VA
2085R0202X
Diagnostic Radiology Physician
01049476A
IN
2085R0202X
Diagnostic Radiology Physician
105149
MN
2085R0202X
Diagnostic Radiology Physician
53274
MN
2085R0202X
Diagnostic Radiology Physician
Primary
71439
WI
2085R0202X
Diagnostic Radiology Physician
MD443364
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03356576
—
NY
05
—
1770511495
—
WI
Enumeration date
06/29/2006
Last updated
07/29/2019
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