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Individual

DANIELLE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
303 E NICOLLET BLVD, BURNSVILLE, MN 55337-4522
(952) 892-8770
Mailing address
303 E NICOLLET BLVD, BURNSVILLE, MN 55337-4522

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
102556
MN

Other

Enumeration date
08/05/2006
Last updated
05/12/2008
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