Individual
BENJAMIN KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110105 PIONEER TRL W STE 201, CHASKA, MN 55318-2680
(952) 512-2470
Mailing address
110105 PIONEER TRL W STE 201, CHASKA, MN 55318-2680
(952) 512-2470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2439
MN
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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