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Individual

ANDREA L BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
915 EAST SUPERIOR ST, DULUTH, MN 55085-0001
(218) 721-4778
Mailing address
2017 EAST SUPERIOR ST, DULUTH, MN 55812-0001

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45661
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
792687100
MN
Enumeration date
02/23/2006
Last updated
12/04/2020
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