Charles Henry Bentlage, MD

NPI #1033436902 in Neosho, Missouri

Provider Information

NPI Number: 1033436902
Entity Type: Individual
Name: Charles Henry Bentlage, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 30, 2010
Last Updated: Apr 30, 2010

Practice Location

Address: 4301 DONIPHAN DR
City: Neosho
State: Missouri
ZIP Code: 64850-9120
Phone: (417) 451-9450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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