Benjamin Axtman, MD
Surgery, Surgical Critical Care in Bismarck, ND. Individual provider (NPI-1).
NPI number1699189787
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1699189787
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Axtman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2014
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | 16611 | ND | Yes |
| 208600000X | Surgery | S0837 | TX |
Practice location
222 N 7th StBismarck, ND 58501-4436
Phone 701-323-5422
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
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