Individual
DR. BENJAMIN JOSEPH HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7100
Mailing address
1855 SOUTH KOELLER ST, AFFINITY MEDICAL GROUP, OSHKOSH, WI 54904
(920) 223-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55367-020
WI
Other
Enumeration date
04/01/2008
Last updated
09/16/2011
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