Individual
SAMANTHA J BENESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
3670 COUNTY ROAD P, CROSS PLAINS, WI 53528-9178
(608) 422-0529
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3202
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3202
LICENSE
WI
Enumeration date
07/29/2010
Last updated
07/06/2022
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