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Contact Information

BRUCE A BENNETT, MD
401 PHALEN BLVD
MAIL STOP 41104A
SAINT PAUL, MN55101-5302
 Phone: 651-254-7980
 Fax: 651-254-7969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRUCE A BENNETT · (Male)

NPI Number 1750356622
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 36874
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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