Individual
BENJAMIN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 ARIES DR, LINCOLN, NE 68512-9100
(402) 420-1300
(402) 420-1326
Mailing address
1240 ARIES DR, LINCOLN, NE 68512-9100
(402) 420-1300
(402) 420-1326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27378
NE
207Q00000X
Family Medicine Physician
TEP6487
NJ
Other
Enumeration date
06/14/2011
Last updated
03/17/2018
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