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Individual

MR. BENJAMIN DENNIS MACLENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522
Mailing address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
37826
IA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
37826
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760696389
WELLMARK BCBS OF IA
IA
05
1760696389
IA
Enumeration date
05/10/2007
Last updated
03/28/2025
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