Individual
DR. MARY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
2096 SURREY RD APT 2, CLEVELAND, OH 44106-3261
(216) 212-1802
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
57.012227
OH
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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