Individual
BRYAN PATRICK BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7182
(517) 205-7050
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7182
(517) 205-7050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8426
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
11/25/2024
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