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Individual

BENJAMIN KEITH BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
7841494-1205
UT
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
7841494-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
18981
NV
2085R0202X
Diagnostic Radiology Physician
RS2005-0324
NM

Other

Enumeration date
06/27/2006
Last updated
09/12/2019
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