Individual
MARK C BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4650 S HOWELL AVE, MILWAUKEE, WI 53207-5908
(414) 376-5577
(414) 762-9927
Mailing address
6737 W WASHINGTON ST STE 2210, WEST ALLIS, WI 53214-5650
(414) 301-6381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1135-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42991900
—
WI
Enumeration date
12/28/2005
Last updated
01/20/2020
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