JOSHUA JOHN BENNINGTON

ST LOUIS PARK, MN
NPI1093142473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  1991)
Enumeration Date2013-10-01
Last Update Date2021-08-03
Business Address
JOSHUA JOHN BENNINGTON PA-C
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426-5000
Phone number: 952-993-3230
Mailing Address
JOSHUA JOHN BENNINGTON PA-C
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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