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Individual
DR. BENJAMIN GREGORY SELLE
Active
Individual
DR. BENJAMIN GREGORY SELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101023622
MI
208600000X
Surgery Physician
5151013360
MI
2086S0129X
Vascular Surgery Physician
Primary
71160
MN
Other
Enumeration date
06/29/2017
Last updated
08/26/2024
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