Organization
JOHN W BENTON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W BENTON MD (PRESIDENT)
(651) 379-2772
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVENUE WEST, SUITE 306, ST PAUL, MN 55104
(651) 379-2772
(651) 379-2774
Mailing address
1600 UNIVERSITY AVENUE WEST, SUITE 306, ST PAUL, MN 55104
(651) 379-2772
(651) 379-2774
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18127
MN
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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