IndividualActive
Garrett Bennett, M.D.
NPI 1174884431 · Vascular & Interventional Radiology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1174884431
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 306317 (LA)
Practice location
11104 Parkview Circle Dr Suite 110
Fort Wayne, IN 46845
Phone: (260) 425-6780
Fax: (260) 425-6615
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2023-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.