Organization
BENNETT INSTITUTE FOR UROGYNECOLOGY AND INCONTINENCE PC
Active
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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