Individual
BEN R UNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
551 N OAKHILL AVE, JANESVILLE, WI 53548-2712
(262) 822-8820
Mailing address
682 N WALTON DR, WHITEWATER, WI 53190-2604
(262) 458-2216
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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