Individual
DR. BENJAMIN RYAN GELHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1155 W BROADWAY AVE, MEDFORD, WI 54451
(715) 560-0448
Mailing address
1155 W BROADWAY AVE, MEDFORD, WI 54451
(715) 560-0448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
476890
WI
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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