Individual
BENOIT BLONDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBA
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7980
(651) 254-7969
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
69252
MN
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
MD2019-0810
NM
2086S0102X
Surgical Critical Care Physician
MD2019-0810
NM
2086S0127X
Trauma Surgery Physician
MD2019-0810
NM
Other
Enumeration date
02/23/2006
Last updated
06/28/2021
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