Individual
BENJAMIN BILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-4670
Mailing address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2331-19
WI
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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