Individual
BENJAMIN MARK VILLWOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
725 S WEBSTER AVE STE 303, GREEN BAY, WI 54301-3539
(920) 431-5650
(920) 433-7400
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13270-33
WI
Other
Enumeration date
11/18/2022
Last updated
04/17/2023
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