Individual
DR. BENJAMIN CODY DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 PREMIER DR, MANKATO, MN 56001-6076
(507) 625-1811
Mailing address
1230 E MAIN STREET, PO BOX 8674, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
582WW1773
IA
208000000X
Pediatrics Physician
Primary
61527
MN
Other
Enumeration date
05/22/2014
Last updated
07/22/2020
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