| NPI Details | |
|---|---|
| NPI | 1093788689 |
| Gender | Male |
| Enumeration Date | 02/13/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 200 1ST ST SW ROCHESTER MN, 55905-0001, US |
|
| Phone | (507) 284-2511 |
| Fax | |
| Business Location | |
|---|---|
| 200 1ST ST SW ROCHESTER MN, 55905-0001, US |
|
| Phone | (507) 284-2511 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208100000X |
| License State | Minnesota |
| License Number | 34170 |
| Remove 1093788689 NPI Number | |
According to our database, Keith Allen Bengtson M.D. NPI is 1093788689, taxonomy code is 208100000X and license number is 34170, license state is located at Minnesota. Keith Allen Bengtson M.D. physically located at 200 1st St Sw, Rochester MN, 55905-0001. NPI Number Keith Allen Bengtson M.D. has the Individual type.
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1093788689 NPI number is provided on an as is basis without warranty of any kind. 1093788689 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Allen Bengtson M.D. are for informational purposes only.
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