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Daniel Coleman Bennett, NP

Nurse Practitioner, Family in Wausau, WI. Individual provider (NPI-1).

NPI number1972852010
StatusActive
Last updated in NPPESFeb 15, 2013

Details

NPI
1972852010
Entity type
Individual (NPI-1)
Name
Daniel Coleman Bennett
Credential
NP
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 5, 2012
Last updated
Feb 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family5006-33WIYes

Practice location

333 Pine Ridge Blvd
Wausau, WI 54401-4120

Phone 715-847-2121

Mailing address

333 Pine Ridge Blvd
Wausau, WI 54401-4120

Phone 715-847-2121

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