Individual
BENJAMIN LEE ADDICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 RADIO DR, WOODBURY, MN 55125-5805
(651) 702-0750
(651) 645-6166
Mailing address
215 RADIO DR STE 202, WOODBURY, MN 55125-5822
(651) 702-0750
(651) 645-6166
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
63443
MN
207Y00000X
Otolaryngology Physician
68905
WI
Other
Enumeration date
04/09/2013
Last updated
11/20/2025
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