Individual
ROBERT LEE BENDICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-7700
(763) 689-7941
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8941
MN
363A00000X
Physician Assistant
Primary
8941
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826230600
—
MN
Enumeration date
03/31/2006
Last updated
03/11/2021
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