Individual
BENJAMIN AUGUSTIN NESSEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 N DEWEY AVE, REEDSBURG, WI 53959
(608) 524-6477
Mailing address
1900 N DEWEY AVE, REEDSBURG, WI 53959-1098
(608) 524-6477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37280
IA
207Q00000X
Family Medicine Physician
Primary
52599-20
WI
Other
Enumeration date
05/07/2007
Last updated
01/29/2019
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