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Individual

DR. BENJAMIN MARK FAUSTICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 NORTH AVE, NORTHFIELD, MN 55057-1498
(507) 646-1000
Mailing address
6521 RIDGEVIEW DR, EDINA, MN 55439-1234
(920) 202-1428

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
58019
MN
207V00000X
Obstetrics & Gynecology Physician
Primary
71598-20
WI

Other

Enumeration date
04/26/2010
Last updated
09/21/2023
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