Individual provider · Type 1 NPI

Benjamin J. Waxman, PA-C

Medical Physician Assistant · Minneapolis, MN

NPI number 1164447165 Active

Practice location

2800 Chicago Ave, Suite 401
Minneapolis, MN 55407-1318

Call (952) 814-6600 Map

Mailing address

3001 Metro Dr, Suite 330
Bloomington, MN 55425-4506

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9763 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1164447165

Benjamin J. Waxman, PA-C's National Provider Identifier is 1164447165, issued on Jul 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.