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Individual

BENJAMIN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
(414) 288-5688
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
(414) 288-5688

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8704-23
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/01/2025
Last updated
10/27/2025
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