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Individual

BENJAMIN FIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
135 W HURON ST, BERLIN, WI 54923-1545
(920) 361-1565
Mailing address
120 SPAULDING AVE, RIPON, WI 54971-1360
(920) 748-9867

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14226-040
WI

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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