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Individual

SUSAN BENFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Mailing address
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
35573
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101043
MEDICA
MN
01
108289
UCARE
MN
01
6T019BE
BCBS
MN
05
826083400
MN
01
HP15873
HEALTH PARTNERS
MN
01
NA9021019258
PREFERRED ONE
MN
Enumeration date
03/17/2006
Last updated
04/22/2013
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