Individual
BENNETT S SERCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15782
WI
2251X0800X
Orthopedic Physical Therapist
15782-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233460
—
WI
Enumeration date
05/23/2022
Last updated
05/10/2023
Update your record
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