Individual
DR. BEN C WANDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, BOX 648, ROCHESTER, NY 14642-8648
(585) 275-7586
(585) 273-1033
Mailing address
601 ELMWOOD AVE, PO BOX 648, ROCHESTER, NY 14642-8648
(585) 275-7586
(585) 273-1033
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
247458
NY
Other
Enumeration date
08/01/2006
Last updated
07/06/2023
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