Individual
MR. BENJAMIN WILLIAM KORRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1111 DELAFIELD ST, 120, WAUKESHA, WI 53188-3417
(262) 544-5311
(262) 544-6820
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12028
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391101566
—
WI
Enumeration date
07/19/2012
Last updated
01/23/2014
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