Individual provider · NPI-1

Michele L Bennett, MD

Family Medicine · Sheridan, WY

NPI number1851490874
StatusActive
Last updated in NPPESNov 29, 2012

Details

NPI
1851490874
Entity type
Individual (NPI-1)
Name
Michele L Bennett
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2006
Last updated
Nov 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine6086AWYYes

Practice location

248 W Works St
Sheridan, WY 82801-4213

Phone 307-673-6100 · Fax 307-673-1975

Mailing address

248 W Works St
Sheridan, WY 82801-4213

Phone 307-673-6100 · Fax 307-673-1975

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