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Garrett Bennett, MD
Vascular & Interventional Radiology Physician in Fort Wayne, Indiana
NPI 1174884431

Garrett Bennett is a Vascular & Interventional Radiology Physician based in Fort Wayne, IN and is specialized in Vascular & Interventional Radiology. Garrett Bennett practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Garrett Bennett is 1174884431 and holds a License No. 306317 (Indiana).

The current practice location address for Garrett Bennett is 11104 Parkview Circle Dr Suite 110, Fort Wayne, IN and can be reached out via phone at 260-425-6780 and via fax at 260-425-6615. You can also correspond with Garrett Bennett through the mailing address at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN - 46845-1701 (mailing address contact number: ).

Location: 11104 Parkview Circle Dr Suite 110, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174884431
Provider Name
Garrett Bennett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11104 Parkview Circle Dr Suite 110, Fort Wayne, IN, 46845-1701
Phone Number
260-425-6780
Fax Number
260-425-6615
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300028176 05 IN
institution
Provider Business Practice Location Address Details
Address
11104 Parkview Circle Dr Suite 110
City
Fort Wayne
State
Indiana
Zip
46845
Phone Number
260-425-6780
Fax Number
260-425-6615
person
Provider Business Mailing Address Details
Address
11104 Parkview Circle Dr Suite 110
City
Fort Wayne
State
Indiana
Zip
46845
Phone Number
260-425-6780
Fax Number
260-425-6615
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01082465A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
(Louisiana)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
306317 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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