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Individual

RAFIK BENAISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 3RD AVE SW, MINOT, ND 58701-3880
(701) 857-5500
(701) 839-6836
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8558
ND
207X00000X
Orthopaedic Surgery Physician
ME65754
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11530
ND
Enumeration date
10/11/2006
Last updated
04/14/2021
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