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Individual

DR. BENJAMIN WALLACE SMETANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1015 HELMO AVE N, OAKDALE, MN 55128-6032
(651) 739-2500
(651) 739-9698
Mailing address
1015 HELMO AVE N, OAKDALE, MN 55128-6032
(651) 739-2500
(651) 739-9698

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4405
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
356A9OA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/29/2006
Last updated
07/08/2007
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