Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | JEREMY J BENACKA | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | JEREMY | [sources] | |||
Last name | BENACKA | [sources] | |||
Middle name | J | [sources] | |||
Sector | Physical Therapist (PT) | [sources] | |||
Address | 8179 JEWEL LANE N, MAPLE GROVE, MN 55311 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended or terminated from Minnesota Health Care Programs.
United States of America · MHCP
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Medicare Medicaid exclusion · Minnesota Health Care Programs | - |
Address | ||
---|---|---|
Full address | Country | |
8179 JEWEL LANE N, MAPLE GROVE, MN 55311 | United States of America |