Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 41703 | WI |
N | 208600000X | Surgeon | 41703 | WI |
Y | 2082S0105X | Plastic Hand Surgeon | 41703 | WI |
NPI | 1952366635 |
---|---|
Provider Name | Michael L Bentz |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 06/01/2021 |