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NPI Code Detail

MEDICARE: DR. EMILY ELIZABETH BENZIE M.D.

MEDICARE: DR. EMILY ELIZABETH BENZIE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician46708MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1501T0DIOTHERMNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326075821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY ELIZABETH BENZIE M.D.
Provider Business Mailing Address
First Line : 2301 CENTRAL AVE NE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55418-3709
Country : US
Telephone Number : 612-588-9411
Fax Number : 612-781-3837
Provider Business Practice Location Address
First Line : 3300 FREMONT AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-2405
Country : US
Telephone Number : 612-588-9411
Fax Number : 612-287-2444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 05/30/2019

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