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Individual

DR. KRISTIN ANN BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4500
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29198
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184267600
MN
Enumeration date
07/20/2006
Last updated
02/29/2012
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