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Individual

DR. BENJAMIN HARDY CRENSHAW

Active
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Individual

DR. BENJAMIN HARDY CRENSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014015787
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0717751
—
IA
01
—
1046258
PREFERRED ONE
MN
05
—
34833600
—
WI
01
—
66-09408
MEDICA CHOICE & PRIMARY
MN
01
—
758T5CR
BCBS
MN
05
—
773938900
—
MN
01
—
HP60848
HEALTHPARTNERS
MN
Enumeration date
06/28/2006
Last updated
04/28/2026
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