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Barry L Bennett, CRNA

Nurse Anesthetist, Certified Registered in Minneapolis, MN. Individual provider (NPI-1).

NPI number1477592012
StatusActive
Last updated in NPPESNov 27, 2007

Details

NPI
1477592012
Entity type
Individual (NPI-1)
Name
Barry L Bennett
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 6, 2006
Last updated
Nov 27, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered38132MNYes

Practice location

701 Park Ave
Minneapolis, MN 55415-1623

Phone 612-873-3152 · Fax 612-904-4218

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Phone 612-873-6005 · Fax 612-630-8242

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