Individual
DR. WILLIAM H BENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 496-4700
Mailing address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26750
WI
207Q00000X
Family Medicine Physician
Primary
26750
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30810300
—
WI
Enumeration date
07/11/2006
Last updated
01/07/2015
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