Individual
BENJAMIN BROWNELL WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 W 5TH ST STE 203, SHERIDAN, WY 82801-2752
(307) 675-4474
(307) 675-4475
Mailing address
1333 W 5TH ST STE 110, SHERIDAN, WY 82801-2752
(307) 675-4474
(307) 675-4475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10081A
WY
207RR0500X
Rheumatology Physician
Primary
10081A
WY
Other
Enumeration date
04/11/2011
Last updated
01/19/2023
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