Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Otolaryngology Head & Neck Surgery, PA

Organization Durable Medical Equipment & Medical Supplies · NPI 1609019363

Otolaryngology Head & Neck Surgery, PA is a Durable Medical Equipment & Medical Supplies in Woodbury, Minnesota. Works from 5 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

217 Radio Dr
Woodbury, MN 55125-5805
Phone: (651) 702-0750
Fax: (651) 645-6166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 3460 Promenade Ave, Eagan, MN 55123-4404 — (651) 702-0750
  • 11020 161st Street West, Lakeville, MN 55044 — (651) 702-0750
  • 3590 Arcade St, Vadnais Heights, MN 55127-7135 — (651) 702-0750
  • 2651 Hillcrest Dr Ste 302, Hudson, WI 54016-9919 — (651) 702-0750

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 20 (MN)

Record details

NPI number1609019363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Benusa — Ceo · (651) 702-0750
Other names Midwest Ear, Nose & Throat Specialists
NPI enumeratedApril 10, 2009
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 24, 2025
Mailing address215 Radio Dr Ste 202, Woodbury, MN 55125-5822

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