Individual
DR. BENJAMIN ROBERT SIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 W AMERICAN DR, NEENAH, WI 54956
(920) 725-9373
Mailing address
1305 W AMERICAN DR, NEENAH, WI 54956-1993
(920) 725-9373
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301096795
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
65912-20
WI
Other
Enumeration date
06/16/2009
Last updated
06/25/2018
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