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Individual

MR. BENJAMIN G BENESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
324 WASHINGTON AVE, OSHKOSH, WI 54901-5042
(920) 305-7910
Mailing address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 991-2561
(920) 991-2563

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10170024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40472100
WI
Enumeration date
03/07/2006
Last updated
04/08/2026
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