MATTHEW R BENNETT, PA-C, Surgical WACONIA, MN

Contact Information

MATTHEW R BENNETT, PA-C

560 S MAPLE ST
SUITE 200
WACONIA, MN 55387-1733

Phone: 952-442-2163
Fax: 952-442-5903
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MATTHEW R BENNETT · (Male)

NPI Number	`1376955971`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	05/30/2014
Last updated	01/09/2015 - About 11 years ago
Sole proprietor ¹	No
Identifiers	MN License # 2193
Hospital affiliation(s)	RENVILLE COUNTY HOSPITAL AND CLINICS - (Critical Access) 611 EAST FAIRVIEW OLIVIA, MN 56277 RIDGEVIEW MEDICAL CENTER - (Acute Care) 500 SOUTH MAPLE STREET WACONIA, MN 55387

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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MATTHEW R BENNETT, PA-C – NPI #1376955971Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for MATTHEW R BENNETT · (Male)

Reviews for MATTHEW R BENNETT

MATTHEW R BENNETT, PA-C – NPI #1376955971
Surgical