Individual
BENJAMIN RICHARD TELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3252
(608) 263-0946
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007226
IL
363AM0700X
Medical Physician Assistant
Primary
7777
WI
Other
Enumeration date
08/22/2019
Last updated
05/16/2024
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