Individual
BENJI MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, MAIL STOP 11109E, SAINT PAUL, MN 55101-2502
(651) 254-9545
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-9545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53720
MN
207R00000X
Internal Medicine Physician
61297
WI
Other
Enumeration date
10/02/2009
Last updated
03/01/2016
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