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Individual

DR. BRADLEY JOHN BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3A, MINNEAPOLIS, MN 55455
(612) 884-0999
Mailing address
420 DELAWARE ST SE, MMC 741, MINNEAPOLIS, MN 55455-0341
(612) 624-8984
(612) 624-3189

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40445
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059976
MT
05
033595900
MN
01
04-00123
MEDICA PRIMARY
MN
01
04-01174
MEDICA CHOICE
MN
01
04-01462
MEDICA PEDS
MN
01
04-13860
MEDICA CHOICE PCC
MN
05
0518308
IA
01
1020130
PREFERRED ONE
MN
01
110184765
UNITED HEALTHCARE
MN
01
126829
UCARE
MN
05
32592700
WI
01
50R05BE
BCBS
MN
05
7611779
NC
01
841569
ARAZ
MN
01
H16364
UPIN
MN
01
HP26198
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
08/05/2014
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