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Individual

BENJAMIN GRANT LADNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-2133
(608) 263-0946
(608) 265-8885
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61266045
WA
207RI0200X
Infectious Disease Physician
Primary
83451
WI
207RI0200X
Infectious Disease Physician
MD61266045
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2213754
WA
Enumeration date
03/22/2016
Last updated
12/10/2024
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