NPI 1003852161

Eliza A. Bennett, MD

Practitioner Obstetrics & Gynecology Physician Madison, WI

Practice location

Address: 20 S Park St Ob/Gyn Clinic, Madison, WI 53715-1348
Phone: (608) 287-2830
Mailing address: 1 South Park Suite 555 University of Wisconsin Department of Ob/Gyn, Madison, WI 53715-1349

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 51413-20 (WI)

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Registry record

NPI: 1003852161
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2006
Record last updated: 4 Jan 2021

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.