Individual
BENJAMIN BONSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(719) 352-1214
Mailing address
PO BOX 385, PALMER LAKE, CO 80133-0385
(719) 352-1214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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