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Individual

DR. BENJAMIN J. FLANNERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 NORTH AVE, NORTHFIELD, MN 55057-4854
(507) 646-1494
Mailing address
2000 NORTH AVE, NORTHFIELD, MN 55057-4854
(507) 646-1494

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
39346
IA
208000000X
Pediatrics Physician
Primary
54106
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144481821
MN
Enumeration date
06/24/2008
Last updated
11/10/2011
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