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1487655288

NPI Code Detail

MEDICARE: MR. JEFFRE J BENSON MD

MEDICARE: MR. JEFFRE J BENSON MD

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
1	207R00000X	Internal Medicine Physician	24936	AZ
2	207L00000X	Anesthesiology Physician	66014-20	WI
3	207L00000X	Anesthesiology Physician	12789	ND
4	207L00000X	Anesthesiology Physician	66014	WI
5	207L00000X	Anesthesiology Physician	104915	MN
6	207L00000X	Anesthesiology Physician	53275	MN
7	207R00000X	Internal Medicine Physician	24936	IA

General Provider Information

NPI Number	:	1487655288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFRE J BENSON MD

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	715-838-5222
Fax Number	:	715-834-3087

Provider Business Practice Location Address
First Line	:	1221 WHIPPLE ST
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-5270
Country	:	US
Telephone Number	:	715-838-5222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	09/27/2024

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Directions to “ MR. JEFFRE J BENSON MD” Practice Location

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