Dr. Benjamin Cody Dexter, M.D.
Pediatrics in Mankato, MN. Individual provider (NPI-1).
NPI number1982016176
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1982016176
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Cody Dexter
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2014
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 61527 | MN | Yes |
| 208000000X | Pediatrics | 582WW1773 | IA |
Practice location
1421 Premier DrMankato, MN 56001-6076
Phone 507-625-1811
Mailing address
1230 E Main StreetPo Box 8674
Mankato, MN 56002-8674
Phone 507-625-1811
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