JONATHAN D BENSON

FORT WAYNE, IN
NPI1417913492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IN  01060622A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IN  01060622A)
207RG0100X Internal Medicine, Gastroenterology
(Licence: TN  44963)
208000000X Pediatrics
(Licence: IN  01060622A)
Enumeration Date2006-04-26
Last Update Date2023-06-05
Business Address
JONATHAN D BENSON
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845-1733
Phone number: 260-266-5230
Mailing Address
JONATHAN D BENSON
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: