Individual provider · NPI-1

Steven Duane Bentz, MD

Family Medicine · Fridley, MN

NPI number1184606774
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1184606774
Entity type
Individual (NPI-1)
Name
Steven Duane Bentz
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 18, 2005
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine32373MNYes

Practice location

7675 Madison St Ne
Fridley, MN 55432-2753

Phone 763-785-4500 · Fax 763-785-3314

Mailing address

7675 Madison St Ne
Fridley, MN 55432-2753

Phone 763-785-4500 · Fax 763-785-3314

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