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Individual

BENJAMIN J. WERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2248
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2248

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
204
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009995495
AL
05
121545
AL
01
511-09066
BCBS OF AL - HEALTHWEST
AL
01
515-27019
BCBS OF AL 1500 RCC
AL
05
810610880A
GA
05
810610880E
GA
Enumeration date
02/03/2006
Last updated
11/20/2014
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