Individual
DR. JACOB ALLEN BENRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-2600
Mailing address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD464884
PA
Other
Enumeration date
04/17/2014
Last updated
10/02/2020
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