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Individual

DR. BENJAMIN GROVER-MANTHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
1130 W MICHIGAN ST, FESLER HALL, ROOM 318, INDIANAPOLIS, IN 46202-5209
(317) 274-8282
(317) 278-3909

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11018141A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
63546
MN

Other

Enumeration date
06/13/2014
Last updated
04/11/2018
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