Individual
STUART REED BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-8080
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
621
MN
367500000X
Certified Registered Nurse Anesthetist
R1108189
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44369100
—
WI
05
—
587400000
—
MN
Enumeration date
07/12/2007
Last updated
03/09/2021
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