Individual
BENJAMIN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
14392 91ST PL N, MAPLE GROVE, MN 55369-8530
(605) 393-7169
Mailing address
14392 91ST PL N, MAPLE GROVE, MN 55369-8530
(605) 393-7169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10189
MN
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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