Individual
DR. BENTON DALE MCCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15705 35TH AVE N, PLYMOUTH, MN 55447-1487
(763) 550-1006
(763) 550-1008
Mailing address
15705 35TH AVE N, PLYMOUTH, MN 55447-1487
(763) 550-1006
(763) 550-1008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4099
MN
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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