Individual
MINDY L BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 641-7000
(651) 641-7166
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(651) 642-9441
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
515
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533718600
—
MN
Enumeration date
10/06/2006
Last updated
03/11/2021
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