Individual
MARNY BENJAMIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, METHODIST HOSPITAL, ST LOUIS PARK, MN 55426
(952) 993-6080
(952) 993-6047
Mailing address
7301 OHMS LANE, SUITE 650, EDINA, MN 55439
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42144
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42144
MN MEDICAL LICENSE
MN
Enumeration date
03/07/2006
Last updated
07/08/2007
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