Individual
JOSIE BENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4570 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-4491
Mailing address
94537 ISLAND LAKE ROAD, STURGEON LAKE, MN 55783
(218) 380-1125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15383
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2025
Last updated
06/19/2025
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