Benjamin Ty Koehn

NPI #1417704461 in Arden Hills, Minnesota

Provider Information

NPI Number: 1417704461
Entity Type: Individual
Name: Benjamin Ty Koehn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 6, 2024
Last Updated: May 6, 2024

Practice Location

Address: 1414 ARDEN PL
City: Arden Hills
State: Minnesota
ZIP Code: 55112-3664
Phone: (651) 219-0788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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