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NICHOLAS J BENNETT PA-C
PA-C
Physician Assistant
NPI: 1336649383Individual
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
10002413A(IN)
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
10002413A(IN)
Contact & Hours
- Address
- 7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804 - Phone
- (260) 203-9600
Quick Facts
- NPI
- 1336649383
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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