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Individual
ADAM BENJAMIN
Active
Individual
ADAM BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
81662-020
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083235436
—
WI
Enumeration date
04/27/2020
Last updated
09/01/2026
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