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Individual

COLE BENJAMIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5715 MEMORIAL AVE N, OAK PARK HEIGHTS, MN 55082-1093
(514) 398-8076
(651) 439-0232
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14246
MN
363A00000X
Physician Assistant
8071-23
WI

Other

Enumeration date
11/03/2022
Last updated
10/03/2024
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