Organization
DR TERRANCE J BENDA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE J BENDA DPM (PODIATRIST)
(262) 334-5137
Entity
Organization
Contact information
Practice address
1626 S MAIN ST, WEST BEND, WI 53095-4936
(262) 334-5137
(262) 334-2009
Mailing address
1626 S MAIN ST, WEST BEND, WI 53095-4936
(262) 334-5137
(262) 334-2009
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
391-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43206600
—
WI
Enumeration date
01/20/2010
Last updated
01/20/2010
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