Individual
MR. BENJAMIN F BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4600 W SCHROEDER DR, BROWN DEER, WI 53223-1469
(800) 767-4411
(414) 797-0804
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(800) 767-4411
(262) 646-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3997-23
WI
363AS0400X
Surgical Physician Assistant
118266
MO
Other
Enumeration date
09/20/2006
Last updated
11/13/2017
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