Individual
BENJAMIN BRUCE EIDENSCHINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3248
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RL14695
ND
207RH0003X
Hematology & Oncology Physician
Primary
73900
MN
208M00000X
Hospitalist Physician
15916
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2017
Last updated
07/21/2023
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