| Doctor Name: | DR. ANTHONY ARLO BENNETT |
| NPI Number: | 1801866397 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | AB063302 |
| Business Practice Address: | 1899 Orchard Lake Rd Suite 104 Sylvan Lake, MI - 483201774 |
| Business Phone Number: | 2488948019 |
| Business Fax Number: | 2486934632 |
| Mailing Address: | 441 Franklin Wright Blvd, LAKE ORION |
| State: | MI |
| Postal Code: | 483621585 |
| Phone Number: | 2488948019 |
| Fax Number: | 2486934632 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 04/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | AB063302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |