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Contact Information

ROSS B BENGTSON
2024 S 6TH ST
BRAINERD, MN56401-4529
 Phone: 218-828-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROSS B BENGTSON · (Male)

NPI Number 1417931593
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2005
Last updated 01/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 45928
  • MN Medicaid 667689800
  • MN Other 45928 LICENSE NUMBER
Hospital affiliation(s)
  • ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER - (Acute Care)
    523 NORTH 3RD STREET
    BRAINERD, MN 56401
  • MERCY HOSPITAL - (Critical Access)
    710 KENWOOD AVENUE SOUTH
    MOOSE LAKE, MN 55767
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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