Burton Allan Benson JR. MD

NPI 1063486595 - Pediatrics - 208000000X

NPI Details
NPI 1063486595
Gender Male
Enumeration Date 02/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
250 N CENTRAL AVE
# 101
WAYZATA MN, 55391, US
Phone (952) 473-0211
Fax (952) 473-7908
Business Location
250 N CENTRAL AVE
# 101
WAYZATA MN, 55391, US
Phone (952) 473-0211
Fax (952) 473-7908
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number 29930
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According to our database, Burton Allan Benson JR. MD NPI is 1063486595, taxonomy code is 208000000X and license number is 29930, license state is located at Minnesota. Burton Allan Benson JR. MD physically located at 250 N Central Ave, Wayzata MN, 55391. NPI Number Burton Allan Benson JR. MD has the Individual type.

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1063486595 NPI number is provided on an as is basis without warranty of any kind. 1063486595 is maintained by the National Plan & Provider Enumeration System. The contents of Burton Allan Benson JR. MD are for informational purposes only.