Individual
DR. MANFERD TREMAIN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 E SUPERIOR ST, SUITE 109, DULUTH, MN 55802-2238
(218) 722-3700
(218) 722-8705
Mailing address
925 E SUPERIOR ST, SUITE 109, DULUTH, MN 55802-2238
(218) 722-3700
(218) 722-8705
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41142
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016-0009754
MEDICA
MN
01
—
1598722688
UCARE
MN
Enumeration date
06/19/2006
Last updated
10/19/2011
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