Individual
MR. BENJAMIN T SKUBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
(262) 836-7301
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2764
(414) 777-4870
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
085261
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104135508
—
WI
Enumeration date
10/02/2010
Last updated
04/25/2024
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