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Individual

SARAH M BENISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3400 W 66TH ST, SUITE 150, EDINA, MN 55435-2109
(952) 920-7200
(763) 302-4234
Mailing address
3400 W 66TH ST, SUITE 150, EDINA, MN 55435-2109
(952) 920-7200
(763) 302-4234

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
46866
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046
AMERICA'S PPO
MN
01
0500937
MEDICA
MN
05
34772900
WI
01
697A9SP
BCBS OF MN
MN
05
794430600
MN
01
HP62081
HEALTHPARTNERS
MN
Enumeration date
02/10/2006
Last updated
12/02/2011
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