Individual
JONATHAN BENZING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-3100
(920) 320-5114
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-3100
(920) 320-5114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13395-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700998697
—
WI
Enumeration date
08/05/2016
Last updated
08/05/2016
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