Individual
SAMUEL JOSEPH BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
13242 SPENCER SWEET PEA LN, EDEN PRAIRIE, MN 55347-2182
(605) 254-8927
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
2461500
MN
Other
Enumeration date
10/09/2023
Last updated
10/12/2023
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