Individual
EMMA B BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1521 CARLSON ST, MARSHALL, MN 56258-2626
(507) 476-4800
Mailing address
2355 US HIGHWAY 59, GARVIN, MN 56132-1161
(402) 871-0617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14678
MN
Other
Enumeration date
06/06/2022
Last updated
10/13/2023
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