Individual
BENJAMIN NEAL CONTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7505 METRO BLVD STE 400, EDINA, MN 55439-3010
(612) 573-2200
(612) 573-2274
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101260916
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101260916
VA
Other
Enumeration date
04/24/2014
Last updated
05/04/2021
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