IndividualActive
Bruce Bennett, MD
NPI 1750356622 · Surgery Physician · St Paul, MN
Provider details
- NPI number
- 1750356622
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 36874 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
401 Phalen Blvd
Mail Stop 41104a
St Paul, MN 55101-5302
Phone: (651) 254-7980
Fax: (651) 254-7969
Approximate (ZIP-level) locationGet directions
Mailing address
8100 34th Ave S
Bloomington, MN 55425-1672
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.