MATTHEW RAY BENNETT

WACONIA, MN
NPI1376955971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MN  2193)
Enumeration Date2014-05-30
Last Update Date2015-01-09
Business Address
-- MATTHEW RAY BENNETT PA-C
560 S MAPLE ST SUITE 200
WACONIA, MN 55387-1733
Phone number: 952-442-2163
Mailing Address
-- MATTHEW RAY BENNETT PA-C
4200 DAHLBERG DR SUITE 300
GOLDEN VALLEY, MN 55422-4840
Phone number: 952-512-5600
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