| Michele L Bennett Md Pc | |
|
248 W Works St Sheridan WY 82801-4213 | |
| (307) 673-6100 | |
| (307) 673-1975 |
| Full Name | Michele L Bennett Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 248 W Works St, Sheridan, Wyoming |
| Authorized Official Name and Position | Michele L Bennett (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3076736100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele L Bennett Md Pc 248 W Works St Sheridan WY 82801-4213 Ph: (307) 673-6100 | Michele L Bennett Md Pc 248 W Works St Sheridan WY 82801-4213 Ph: (307) 673-6100 |
| NPI Number | 1275716995 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275716995 | NPI | - | NPPES |
| 05809001 | Other | WY | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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