Individual
DR. DONALD J BENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, #440, GREEN BAY, WI 54308-8900
(920) 288-8450
(920) 288-8455
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46177
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34504500
—
WI
Enumeration date
08/05/2006
Last updated
06/29/2023
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