Individual
DR. BENJAMIN DANIEL FONKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2006 NEW GARDEN RD STE 204, GREENSBORO, NC 27410-2568
(336) 545-3132
(336) 545-0571
Mailing address
2006 NEW GARDEN RD STE 204, GREENSBORO, NC 27410-2568
(336) 545-3132
(336) 545-0571
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4172
NC
Other
Enumeration date
05/11/2011
Last updated
05/17/2011
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