MICHELLE D BENNETT

CENTRAL OHIO UROLOGY GROUP, LLC.

Dr MICHELLE D BENNETT is a female medical professional, specializing in Physician Assistant. She graduated in 2001.

Contact

CENTRAL OHIO UROLOGY GROUP, LLC.

701 TECH CTR DR
GAHANNA
OH
432301987

Tel: 6143962684

MICHELLE D BENNETT Information

Npi 1144292012
Pac Id 2365571189
Professional Enrollment Id I20150925001603
Last Name BENNETT
First Name MICHELLE
Middle Name D
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CENTRAL OHIO UROLOGY GROUP, LLC.
Group Practice Pac Id 5395758882
Number Of Group Practice Members 32
Line 1 Street Address 701 TECH CTR DR
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City GAHANNA
State OH
Zip Code 432301987
Phone Number 6143962684
Hospital Affiliation Ccn 1 360035
Hospital Affiliation Lbn 1 MOUNT CARMEL WEST
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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