JOSHUA JOHN BENNINGTON PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1093142473- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 3931 LOUISIANA AVE S, ST LOUIS PARK, MN, 554265000
- Phone
- (952) 993-3230
- Fax
- (952) 993-1748
Specialties & Taxonomies
Physician Assistant
Primary License: MN #1991
All Addresses
MAILING
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN, 554254516