Organization
BENCHMARK ATLANTIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE MARY BOLL CMF (PRESIDENT)
(815) 578-0304
Entity
Organization
Contact information
Practice address
93 W GENEVA ST, WILLIAMS BAY, WI 53191-9518
(262) 245-0305
(815) 578-0343
Mailing address
93 WEST GENEVA STREET, WILLIAMS BAY, IL 60050-7410
(815) 578-0304
(815) 578-0343
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/03/2009
Last updated
07/07/2010
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