Individual
DR. BENITO W. AUBERGINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036121374
IL
207P00000X
Emergency Medicine Physician
Primary
11216
ND
207P00000X
Emergency Medicine Physician
53450-020
WI
207P00000X
Emergency Medicine Physician
57475
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361213741
—
IL
Enumeration date
06/19/2007
Last updated
06/18/2024
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