Individual
BENJAMIN DALE ROSENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-4071
(320) 230-1140
Mailing address
2110 W 105TH ST, BLOOMINGTON, MN 55431-3407
(612) 462-1970
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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