Individual
DR. JOAN LUCILLE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1237
(651) 439-1547
Mailing address
927 CHURCHILL ST W, MEDICAL STAFF SERVICES, STILLWATER, MN 55082-6605
(651) 430-8537
(651) 430-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31704
MN
Other
Enumeration date
12/08/2005
Last updated
07/08/2007
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