Individual
DR. BENJAMIN EMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3612 ROOSEVELT RD, KENOSHA, WI 53142-7230
(262) 652-1689
Mailing address
505 77TH ST, KENOSHA, WI 53143-6027
(262) 455-1513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
342835
WI
Other
Enumeration date
07/09/2016
Last updated
07/09/2016
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