Individual
DR. BRIAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 N CODY RD, LE CLAIRE, IA 52753-9220
(563) 635-6057
Mailing address
3417 214TH ST N, PORT BYRON, IL 61275-9658
(563) 676-3156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
121214
IA
Other
Enumeration date
06/27/2023
Last updated
08/27/2025
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