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Individual
BENJAMIN R. BANKS
Active
Individual
BENJAMIN R. BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71441
WI
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
71441
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053809285
—
WI
Enumeration date
04/24/2018
Last updated
07/10/2025
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