Individual
BENJAMIN JAMES HERDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
58093
WI
2086S0129X
Vascular Surgery Physician
Primary
58093
WI
Other
Enumeration date
01/04/2007
Last updated
01/19/2021
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