Individual
DR. BENJAMIN DAVID STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
340 3RD ST, INTL FALLS, MN 56649-2309
(218) 283-4788
Mailing address
340 3RD ST, INTL FALLS, MN 56649-2309
(218) 283-4788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111184
UCARE
MN
01
—
16255
SPECTERA
MN
01
—
21-000595
MEDICA
MN
01
—
4C992ST
BLUE CROSS
MN
01
—
52902
DAVIS VISION
MS
05
—
581223200
—
MN
01
—
MN1583
EYEMED
MN
Enumeration date
10/05/2007
Last updated
05/14/2008
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