Individual
BENJAMIN DEAN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
(612) 243-8999
(612) 869-3473
Mailing address
6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
(612) 243-8999
(612) 869-3473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3766
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013205871
—
MN
Enumeration date
07/14/2011
Last updated
03/22/2024
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