BENJAMIN IMDIEKE

BISMARCK, ND
NPI1871960096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R34682)
Enumeration Date2015-08-24
Last Update Date2016-07-08
Business Address
-- BENJAMIN IMDIEKE
900 E BROADWAY AVE
BISMARCK, ND 58501-4520
Phone number: 701-530-7000
Mailing Address
-- BENJAMIN IMDIEKE
PO BOX 997
BISMARCK, ND 58502-0997
Phone number: 701-530-7000
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