Individual
BENJAMIN MAURICE SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E. 23RD ST., SUITE 230, SIOUX FALLS, SD 57105-2122
(605) 322-6900
(605) 322-6901
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50980
MN
207RH0003X
Hematology & Oncology Physician
Primary
8825
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008412
—
SD
Enumeration date
07/24/2007
Last updated
10/16/2018
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