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Individual

DR. CARSON BENJAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2223 CENTRAL AVE NE STE 1, MINNEAPOLIS, MN 55418-3354
(612) 782-0173
(612) 782-0196
Mailing address
2223 CENTRAL AVE NE STE 1, MINNEAPOLIS, MN 55418-3354
(612) 782-0173
(612) 782-0196

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4105
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62G21BE
BLUE CROSS BLUE SHIELD
Enumeration date
09/27/2006
Last updated
01/30/2008
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