Individual
JESSICA ANNE BENTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
525 N 9TH ST, BISMARCK, ND 58501-4510
(701) 258-8120
(701) 222-0229
Mailing address
525 N 9TH ST, BISMARCK, ND 58501-4510
(701) 258-8120
(701) 222-0229
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
49
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12003
—
ND
Enumeration date
08/09/2006
Last updated
10/12/2007
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