IndividualActive
Benjamin Waxman, PA-C
NPI 1164447165 · Medical Physician Assistant · Minneapolis, MN
Provider details
- NPI number
- 1164447165
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 9763 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2800 Chicago Ave
Suite 401
Minneapolis, MN 55407-1318
Phone: (952) 814-6600
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Metro Dr
Bloomington, MN 55425-4506
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.