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Individual

BENJAMIN A HOLTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN,CRNA

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3265
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R33666
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1463282
ND
Enumeration date
01/30/2015
Last updated
02/24/2025
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