Individual
DR. BENJAMIN WISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 E HARMONY RD, STE 140, FORT COLLINS, CO 80528-8620
(970) 484-6700
(970) 484-5723
Mailing address
2315 E HARMONY RD, STE 140, FORT COLLINS, CO 80528-8620
(970) 484-6700
(970) 484-5723
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
48586
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02452049
—
CO
Enumeration date
01/26/2007
Last updated
02/26/2015
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