Individual provider · NPI-1

Dr. Amy K Bennett, MD

Family Medicine, Adult Medicine · Plymouth, MN

NPI number1669856985
StatusActive
Last updated in NPPESJul 16, 2015

Details

NPI
1669856985
Entity type
Individual (NPI-1)
Name
Dr. Amy K Bennett
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 16, 2015
Last updated
Jul 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine36986MNYes

Practice location

13001 County Road 10
Plymouth, MN 55442-1124

Phone 763-509-4282 · Fax 763-519-2367

Mailing address

13001 County Road 10
Plymouth, MN 55442-1124

Phone 763-509-4282 · Fax 763-519-2367

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