Individual
BENJAMIN LANDGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12635 W BLUEMOUND RD, BROOKFIELD, WI 53005-8004
(414) 258-0606
(414) 258-1953
Mailing address
12635 W BLUEMOUND RD, BROOKFIELD, WI 53005-8004
(414) 258-0606
(414) 258-1953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66515-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053723130
—
WI
Enumeration date
05/23/2014
Last updated
09/24/2024
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