Individual
JANINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2426 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1735
(702) 846-9216
Mailing address
1394 N 4TH ST, COLUMBUS, OH 43201-4521
(702) 846-9216
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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