Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WENDEMAGEN THEODORE BENNETT
ActiveWENDEMAGEN THEODORE BENNETT is a 376G00000X healthcare provider located in AURORA, Colorado. NPI 1457170557 is currently active in the NPPES registry. Verify at CMS.
376G00000X · AURORA, CO
Registration Details
- NPI Number
- 1457170557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2024 (1.6633290725213 yrs)
- Last Updated
- Oct 9, 2024
- License
-
04UCCC (CO)
Practice Information
- Address
-
2821 S PARKER RD STE 2-1017AURORA, CO, 800142735Browse CO providers · Browse ZIP 80014
- Phone
- 6166448235
- Primary Specialty
-
376G00000X
376G00000X
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.