Individual
DR. RODNEY WAYNE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N RITTER AVE STE 500, INDIANAPOLIS, IN 46219-3027
(317) 924-8636
(317) 921-0237
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01066346A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01066346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201172510
—
IN
Enumeration date
04/24/2007
Last updated
07/30/2025
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