Individual
BENJAMIN FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4005 WESTMARK DR, SUITE 320, DUBUQUE, IA 52002-2271
(563) 588-3891
(563) 588-3893
Mailing address
4005 WESTMARK DR, SUITE 320, DUBUQUE, IA 52002-2271
(563) 588-3891
(563) 588-3893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03661
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
02/28/2007
Last updated
09/16/2011
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