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Individual

BENJAMIN PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-2015
Mailing address
1000 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-2015

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
64549
MN
207Q00000X
Family Medicine Physician
Primary
DO-05539
IA

Other

Enumeration date
05/02/2017
Last updated
01/17/2024
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