Individual
BENJAMIN JED KNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-6016
Mailing address
1410 6TH ST SW, MASON CITY, IA 50401-4818
(641) 424-6704
(641) 424-6709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0635
MN
367500000X
Certified Registered Nurse Anesthetist
D131926
IA
Other
Enumeration date
01/08/2013
Last updated
01/06/2026
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