# BENJAMIN J VISGER DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649634411
- **Authorized official:** DR. BENJAMIN J VISGER DO (PRESIDENT)
- **Authorized official phone:** (231) 740-4459

## Contact information

- **Practice address:** 1865 LAWNEL AVE, NORTON SHORES, MI 49441-3742
- **Practice address phone:** (231) 740-4459
- **Mailing address:** 1865 LAWNEL AVE, NORTON SHORES, MI 49441-3742
- **Mailing address phone:** (231) 740-4459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 510109204 | MI | Yes |

## Other

- **Enumeration date:** 04/07/2016
- **Last updated:** 04/07/2016
