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Contact Information

BENJAMIN R KOCH, MD
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN55805-1951
 Phone: 218-786-4109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for BENJAMIN R KOCH · (Male)

NPI Number 1174733836
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 08/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IA License # R-7867
  • MN License # 54829
Hospital affiliation(s)
  • ESSENTIA HEALTH DULUTH - (Acute Care)
    502 EAST SECOND STREET
    DULUTH, MN 55805
  • ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER - (Acute Care)
    523 NORTH 3RD STREET
    BRAINERD, MN 56401
  • ESSENTIA HEALTH ST MARY'S MEDICAL CENTER - (Acute Care)
    407 EAST THIRD STREET
    DULUTH, MN 55805
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
  • ST MARYS HSPTL SUPERIOR - (Critical Access)
    3500 TOWER AVE
    SUPERIOR, WI 54880
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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