Individual
COLLEEN BENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233
(414) 219-2000
Mailing address
7535 GRAND PKWY, WAUWATOSA, WI 53213-3566
(414) 841-2501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
12/28/2021
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