Individual
BENJAMIN TODD GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6630 UNIVERSITY AVE, MIDDLETON, WI 53562-3036
(608) 263-6540
(608) 263-5011
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5356
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
67242-21
WI
Other
Enumeration date
08/08/2009
Last updated
01/29/2021
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