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Individual

DWIGHT D BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3388
(920) 288-3370
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
131240
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
4031
WI

Other

Enumeration date
09/16/2009
Last updated
10/23/2024
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