Hans Christian Bengtson PA-C

NPI 1366884991 - Physician Assistant - 363A00000X

NPI Details
NPI 1366884991
Gender Male
Enumeration Date 07/24/2013
Last Updated 07/01/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
1185 TOWN CENTRE DR STE 100
EAGAN MN, 55123-1188, US
Phone (651) 968-5230
Fax (651) 968-3982
Business Location
710 COMMERCE DR STE 200
WOODBURY MN, 55125-4925, US
Phone (651) 968-5042
Fax (651) 968-5900
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 002425
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According to our database, Hans Christian Bengtson PA-C NPI is 1366884991, taxonomy code is 363A00000X and license number is 002425, license state is located at Iowa. Hans Christian Bengtson PA-C physically located at 1185 Town Centre Dr Ste 100, Eagan MN, 55123-1188. NPI Number Hans Christian Bengtson PA-C has the Individual type.

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1366884991 NPI number is provided on an as is basis without warranty of any kind. 1366884991 is maintained by the National Plan & Provider Enumeration System. The contents of Hans Christian Bengtson PA-C are for informational purposes only.