Individual
MRS. MARY ALICE BENASZESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 HIGHWAY 8, MONICO, WI 54501-7759
(715) 550-6279
(715) 487-5638
Mailing address
1800 HIGHWAY 8, MONICO, WI 54501-7759
(715) 550-6279
(715) 487-5638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106365
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4058297
—
WI
05
—
4236437
—
WI
05
—
5453633
—
WI
Enumeration date
08/07/2007
Last updated
04/28/2008
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