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Individual

BENJAMIN PANKRATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 CLARK ST, LODI, WI 53555-1010
(608) 628-9433
Mailing address
700 CLARK ST, LODI, WI 53555-1010

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6345-154
WI

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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