NPI 1003479171

Jonathan James Bennett, MD

Practitioner Family Medicine Physician Watertown, MN

Practice location

Address: 313 Territorial St E, Watertown, MN 55388-9284
Phone: (952) 955-1921
Mailing address: 424 Mn-5, Waconia, MN 55387

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 71173 (MN)

Other Family Medicine providers in Minnesota →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003479171
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2019
Record last updated: 20 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.