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Individual

MR. BENJAMIN ALAN GERLOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
601 GROVE AVE, WILD ROSE, WI 54984-6903
(920) 622-5595
(920) 622-5594
Mailing address
N4308 COUNTY RD E, PINE RIVER, WI 54965-7504
(920) 229-0567

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9501-024
WI

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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