Individual
BENJAMIN BURDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5158
Mailing address
2901 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4329
(414) 649-6000
(414) 649-5158
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1427707868
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
09/29/2022
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