Individual
BENJAMIN MOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 258-3090
(320) 258-3095
Mailing address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 258-3090
(320) 258-3095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
69266
MN
207L00000X
Anesthesiology Physician
A153446
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
07/19/2021
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