Individual
JUDITH A BENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2111 BEASER AVE, ASHLAND, WI 54806-3608
(715) 682-0363
(715) 682-9638
Mailing address
2111 BEASER AVE, ASHLAND, WI 54806-3608
(715) 682-0363
(715) 682-9638
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21223
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30133400
—
WI
Enumeration date
05/19/2006
Last updated
02/25/2008
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