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Individual

DR. BENSON MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DIVISION OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 456-6836
(414) 456-6214
Mailing address
9200 W WISCONSIN AVE, DIVISION OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 456-6836
(414) 456-6214

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28399
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000125Z
HUMANA
01
100006023
RAILROAD MEDICARE
05
1407807258
WI
Enumeration date
05/15/2006
Last updated
05/05/2014
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