Individual
DR. BRIAN BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
304 4TH AVE NE, WAITE PARK, MN 56387-1236
(320) 251-0766
Mailing address
8418 CLINTON AVE S, BLOOMINGTON, MN 55420-2357
(651) 261-9362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4985
MN
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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