Clark Alan Bennett RN

NPI 1154588119 - Registered Nurse - 163W00000X

NPI Details
NPI 1154588119
Gender Male
Enumeration Date 05/19/2008
Last Updated 05/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
735 STATE ROAD 23
MINERAL POINT WI, 53565-8911, US
Phone (608) 987-3094
Fax (608) 987-3904
Business Location
735 STATE ROAD 23
MINERAL POINT WI, 53565-8911, US
Phone (608) 987-3094
Fax (608) 987-3904
Toxanomy
Taxonomy Code 163W00000X
License State Wisconsin
License Number 130599-30
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According to our database, Clark Alan Bennett RN NPI is 1154588119, taxonomy code is 163W00000X and license number is 130599-30, license state is located at Wisconsin. Clark Alan Bennett RN physically located at 735 State Road 23, Mineral Point WI, 53565-8911. NPI Number Clark Alan Bennett RN has the Individual type.

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1154588119 NPI number is provided on an as is basis without warranty of any kind. 1154588119 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Alan Bennett RN are for informational purposes only.