Individual
BENJAMIN VINCENT DEITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3626
(715) 685-5700
(715) 682-2804
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3626
(715) 685-5700
(715) 682-2804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13971
WI
363LF0000X
Family Nurse Practitioner
9770
MN
Other
Enumeration date
09/09/2022
Last updated
03/12/2026
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