Individual
BENJAMIN N WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3487 N LAKE DR, MILWAUKEE, WI 53211-2919
(414) 610-5663
Mailing address
3487 N LAKE DR, MILWAUKEE, WI 53211-2919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5539-23
WI
Other
Enumeration date
08/16/2020
Last updated
06/18/2024
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