Individual
BENJAMIN TY KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 ARDEN PL, ARDEN HILLS, MN 55112-3664
(651) 219-0788
Mailing address
1414 ARDEN PL, ARDEN HILLS, MN 55112-3664
(651) 219-0788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MN
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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