Individual
AMANDA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., M.C.M.
Contact information
Practice address
11500 HIGHWAY 7 STE 204, MINNETONKA, MN 55305-5107
(763) 222-8337
Mailing address
705 PINEVIEW LN N, PLYMOUTH, MN 55441-5768
(763) 222-8337
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2016
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016
MINNESOTA STATE LICENSE NUMBER
MN
Enumeration date
10/31/2022
Last updated
10/31/2022
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