Individual
BENJAMIN LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
(302) 677-5518
Mailing address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63723
MN
Other
Enumeration date
08/23/2013
Last updated
06/13/2023
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