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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WAYNE DAVID LEROY BENTHAM, MD

Active

WAYNE DAVID LEROY BENTHAM, MD is a Psychiatry healthcare provider located in VADNAIS HEIGHTS, Minnesota. NPI 1609952407 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · VADNAIS HEIGHTS, MN

Registration Details

NPI Number
1609952407
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2006 (19.822469349702 yrs)
Last Updated
Feb 28, 2023
Licenses
62533-20 (WI)
62533-20 (WI)
68407 (MN)

Practice Information

Address
3640 TALMAGE CIR STE 216
VADNAIS HEIGHTS, MN, 551107100
Browse MN providers · Browse ZIP 55110
Phone
9524315330
Fax
9524315334
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in VADNAIS HEIGHTS, MN

Name Credential NPI
JOHN PRESTON DANIELS MD 1386728707
DR. MARIA HARMANDAYAN M.D. 1669664918
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.