Dr. David G Benditt
Internist Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
1200 Sixth Ave N Centracare Clinic
St Cloud
, Minnesota 56303-2735
Dr. David G Benditt
Internist Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
1200 Sixth Ave N Centracare Clinic
St Cloud
, Minnesota 56303-2735
(320) 252-5131
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Dr. David G Benditt
- 1200 Sixth Ave N Centracare Clinic
- St Cloud, MN
- Zip : 56303-2735
- Phone : (320) 252-5131
Second Address
- Dr. David G Benditt
- 1200 Sixth Ave N Centracare Clinic
- St Cloud, MN
- Zip : 56303-2735
- Phone : (320) 252-5131
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 21837 | MN |
| N | 111NI0900X | Internist | 21837 | MN |
| Y | 207RC0000X | Internist - Cardiovascular Disease | 21837 | MN |
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | 21837 | MN |
National Provider Identifier
| NPI | 1073559134 |
|---|---|
| Provider Name | Dr. David G Benditt |
| First Address | St Cloud, MN 56303-2735 |
| Second Address | St Cloud, MN 56303-2735 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2006 |
| Last Update Date | 26/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0051561 | (05) | MT |
| 0998245 | (05) | IA |
| 100780 | UCARE (01) | MN |
| 1008980 | PREFERRED ONE (01) | MN |
| 25-00021 | MEDICA PRIMARY (01) | MN |
| 25-24794 | MEDICA CHOICE (01) | MN |
| 2T128BE | BCBS (01) | MN |
| 608268800 | (05) | MN |
| 768020 | ARAZ (01) | MN |
| A93773 | (02) | |
| A93773 | (02) | MN |
| HP28844 | HEALTHPARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.