Individual
BENJAMIN JAMES DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11732 W WEGENER RD, HIBBING, MN 55746-8279
(605) 630-8915
Mailing address
11732 W WEGENER RD, HIBBING, MN 55746-8279
(605) 630-8915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13777
MN
Other
Enumeration date
07/02/2021
Last updated
08/31/2021
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