Individual
MR. BENJAMIN ZIEBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7516 W OKLAHOMA AVE, WEST ALLIS, WI 53219-2860
(414) 885-0456
(414) 885-0720
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 305, MILWAUKEE, WI 53215-3660
(414) 649-6000
(414) 649-5296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4597-23
WI
Other
Enumeration date
06/15/2018
Last updated
08/23/2019
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