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Individual

DR. BENJAMIN JOHN ERNST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
442 N WESTHILL BLVD STE A, APPLETON, WI 54914-5830
(920) 751-8666
Mailing address
442 N WESTHILL BLVD STE A, APPLETON, WI 54914-5830
(920) 751-8666
(920) 751-0288

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
48790
CO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
57459020
WI

Other

Enumeration date
06/21/2007
Last updated
09/21/2023
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