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Individual

DR. MICHAEL BENNETT TRADEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 SE GEORGIA AVE, SUITE 200, STUART, FL 34994
(772) 220-9871
Mailing address
401 SE GEORGIA AVE, SUITE 200, STUART, FL 34994

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME168145
FL

Other

Enumeration date
04/03/2019
Last updated
11/14/2024
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