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Individual

DR. BEN EDWARD EGGLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
704 W WASHINGTON AVE, ALPENA, MI 49707-2949
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
295098-1205
UT
2085R0202X
Diagnostic Radiology Physician
35.096665
OH
2085R0202X
Diagnostic Radiology Physician
Primary
4301080490
MI
2085R0202X
Diagnostic Radiology Physician
D0065671
MD
2085R0202X
Diagnostic Radiology Physician
M-10409
ID

Other

Enumeration date
04/06/2007
Last updated
06/24/2014
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