Individual
BENJAMIN AXTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-5422
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
S0837
TX
2086S0102X
Surgical Critical Care Physician
Primary
16611
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401263501
—
TX
Enumeration date
06/17/2014
Last updated
09/14/2020
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