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Individual

BENJAMIN B EVENSON

Active
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Individual

BENJAMIN B EVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R161934-8
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1113912
AMERICA'S PPO/ARAZ #
FM
05
1659328375
MN
01
2001730
MEDICA #
MN
01
23810
LHS/BANNERHEALTH #
MN
01
24215
NDBS #
MN
01
363J3EV
MNBS #
MN
05
973137700
MN
01
DA9031025578
PREFERRED ONE #
FM
01
HP38328
HEALTHPARTNERS #
MN
Enumeration date
05/28/2006
Last updated
07/16/2012
Update your record

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