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Individual

DR. TERRANCE J BENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1626 S MAIN ST, WEST BEND, WI 53095-4936
(262) 334-5137
(262) 334-2009
Mailing address
1626 S MAIN ST, WEST BEND, WI 53095-4936
(262) 334-5137
(262) 334-2009

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
391025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43206600
WI
Enumeration date
02/08/2006
Last updated
04/22/2008
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