Individual
DR. BENJAMIN WILLIAM MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
825 E GREEN BAY AVE, SAUKVILLE, WI 53080-2611
(262) 284-9881
(262) 284-1174
Mailing address
825 E GREEN BAY AVE, SAUKVILLE, WI 53080-2611
(262) 284-9881
(262) 284-1174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17545-40
WI
Other
Enumeration date
10/13/2020
Last updated
10/15/2020
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