Individual provider · Type 1 NPI

Garrett Bennett, MD

Vascular & Interventional Radiology Physician · Fort Wayne, IN

NPI number 1174884431 Active

Practice location

11104 Parkview Circle Dr Suite 110
Fort Wayne, IN 46845

Fax (260) 425-6615

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X306317 (LA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204X01082465A (IN)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1174884431

Garrett Bennett, MD's National Provider Identifier is 1174884431, issued on Jun 4, 2012. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Fort Wayne, IN. The record was last updated on May 5, 2023.