Individual
BENJAMIN J SUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
325 KENSINGTON DR, MADISON, WI 53704-5940
(608) 244-2815
Mailing address
325 KENSINGTON DR, MADISON, WI 53704-5940
(608) 244-2815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2890-23
WI
Other
Enumeration date
02/24/2012
Last updated
11/03/2020
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