Individual
MR. BENJAMIN JOHN MADSEN
Active
Individual
MR. BENJAMIN JOHN MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
81116
MT
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-81116
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841440765
—
MT
Enumeration date
09/28/2008
Last updated
06/26/2026
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