Individual
SAMANTHA BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3548
(262) 409-7234
Mailing address
3289 N MAYFAIR RD, WAUWATOSA, WI 53222-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75149-20
WI
Other
Enumeration date
03/30/2019
Last updated
11/30/2022
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