Individual
DR. BENJAMIN R GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56561
MN
207R00000X
Internal Medicine Physician
MD-46392
IA
207RN0300X
Nephrology Physician
Primary
MD-46392
IA
208M00000X
Hospitalist Physician
DR.0058309
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028588
KAISER COMMERCIAL NUMBER
CO
05
—
9000154806
—
CO
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P01234119
RAILROAD MEDICARE
MN
Enumeration date
06/25/2012
Last updated
07/15/2019
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