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Individual

JOHN W BENSON

Active
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Individual

JOHN W BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40637
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102892
MEDICA
MN
05
—
0511147
—
IA
01
—
08028065
RR MEDICARE
—
01
—
101044
UCARE
MN
01
—
29B64BE
BCBS
MN
01
—
41084933956001C120
CHAMPUS
—
05
—
829525500
—
MN
01
—
895654
AMERICAS PPO
MN
01
—
HP26511
HEALTH PARTNERS
MN
01
—
NA2951023816
PREFERRED ONE
MN
Enumeration date
01/18/2006
Last updated
07/09/2020
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