Individual
BENJAMIN AARON WILLENBRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
(952) 883-7469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
198856
PA
207P00000X
Emergency Medicine Physician
Primary
59285
MN
207P00000X
Emergency Medicine Physician
64282-20
WI
Other
Enumeration date
06/07/2011
Last updated
05/10/2019
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