Individual
DIANA K BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40870
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0414636
MEDICA
MN
01
—
110170018
RR MEDICARE
—
01
—
123028
UCARE
MN
01
—
1965379
AMERICAS PPO
MN
05
—
270318100
—
MN
01
—
29B40BE
BCBS
MN
01
—
41084933956001C149
CHAMPUS
—
01
—
HP26536
HEALTH PARTNERS
MN
01
—
NA2951023815
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
03/30/2020
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