Individual
MR. BENJAMIN JAMES WOLLENZIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 3RD AVE SE, TOWNER, ND 58788-0181
(701) 537-0524
Mailing address
PO BOX 181, TOWNER, ND 58788-0181
(701) 537-0524
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1454210
ND
Other
Enumeration date
11/30/2020
Last updated
01/08/2021
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