Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW RAY BENNETT, PA-C
ActiveMATTHEW RAY BENNETT, PA-C is a Surgical Physician Assistant healthcare provider located in WACONIA, Minnesota. NPI 1376955971 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WACONIA, MN
Registration Details
- NPI Number
- 1376955971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2014 (12.175867717883 yrs)
- Last Updated
- Jan 9, 2015
- License
-
2193 (MN)
Practice Information
- Address
-
560 S MAPLE STSUITE 200WACONIA, MN, 553871733Browse MN providers · Browse ZIP 55387
- Phone
- 9524422163
- Fax
- 9524425903
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WACONIA, MN
| Name | Credential | NPI |
|---|---|---|
| EUGENE P WHITBECK | OPA-C | 1568575728 |
| RYAN J. BAKKO | MS, PA-C | 1417276304 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.