Organization
GAIL P. BENDER, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA GAVITT MCKEE (CLINIC MANAGER)
(952) 938-6699
Entity
Organization
Contact information
Practice address
6490 EXCELSIOR BLVD STE W106, ST LOUIS PARK, MN 55426-4741
(952) 938-6699
(952) 938-1906
Mailing address
6490 EXCELSIOR BLVD STE W106, ST LOUIS PARK, MN 55426-4741
(952) 938-6699
(952) 938-1906
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
22924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-11092
MEDICA
MN
01
—
51065BE
BLUE CROSS OF MN
MN
01
—
HP18158
HEALTH PARTNERS
MN
Enumeration date
10/09/2006
Last updated
08/22/2020
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