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Individual

GURPAL S BENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3850 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416-2527
(952) 993-3400
(985) 875-2780
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.203323
LA
208M00000X
Hospitalist Physician
MD.203323
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00934711
MS
05
1803839
LA
Enumeration date
09/23/2009
Last updated
08/13/2024
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