Individual
DR. BENJAMIN DANIEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC RIVER CAMPUS, ST CLOUD, MN 56303-2735
(320) 240-2108
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC RIVER CAMPUS, ST CLOUD, MN 56303-2735
(320) 240-2108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46821
MN
207RN0300X
Nephrology Physician
Primary
104841
MN
Other
Enumeration date
05/27/2006
Last updated
06/28/2010
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