Individual
WINSTON CRAIG BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-4760
Mailing address
PO BOX 2010, FARGO, ND 58122-0605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24752
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205703400
—
MN
01
—
HP10105
HEALTHPARTNERS
—
01
—
PENDING
MEDICA
—
Enumeration date
07/18/2006
Last updated
12/29/2011
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