Organization
BENNETT INSTITUTE FOR UROGYNECOLOGY AND INCONTINENCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BENNETT MD (PRESIDENT)
(616) 290-1876
Entity
Organization
Contact information
Practice address
770 KENMOOR AVE SE STE 301, GRAND RAPIDS, MI 49546-8621
(616) 290-1876
(616) 290-1877
Mailing address
770 KENMOOR AVE SE STE 301, GRAND RAPIDS, MI 49546-8621
(616) 290-1876
(616) 290-1877
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
05/27/2024
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