Michael Benson, DO | |
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
(952) 993-3123 | |
Not Available |
Full Name | Michael Benson |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 6500 Excelsior Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447780705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101023293 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 73323 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Tria Orthopaedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
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Michael Benson, DO 8170 33rd Ave S, Bloomington, MN 55425-4516 Ph: () - | Michael Benson, DO 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-3123 |
Dr. Chung M Lee, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3212 | |
Kenneth B Heithoff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880 | |
Mark E Myers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd, Suite 190, St Louis Park, MN 55416 Phone: 952-525-6328 Fax: 952-513-6880 | |
Dr. Michael T Akin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 959-299-3539 | |
Deborah Steen, Radiology Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5391 | |
Paige N Misselt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 612-385-0911 | |
Thomas J Gilbert Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Boulevard, Suite 190, St Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880 |