Individual
BENJAMIN KLOESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 624-9990
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 624-9990
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
54160
MN
207R00000X
Internal Medicine Physician
21866
MN
207R00000X
Internal Medicine Physician
54160
MN
Other
Enumeration date
07/07/2009
Last updated
04/18/2017
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