Individual
BURTON ALLAN BENSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Mailing address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29930
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
667080600
—
MN
Enumeration date
02/13/2006
Last updated
02/21/2018
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