Individual
DR. BENJAMIN A ABEYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-7000
(414) 479-7001
Mailing address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-7000
(414) 479-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
65699
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
65699
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65699
WI STATE LICENSE
WI
Enumeration date
06/05/2012
Last updated
11/18/2021
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