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Individual

DR. BENJAMIN B KUZMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01037384A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
2689
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082136
ANTHEM-351158723
IN
01
000000492353
ANTHEM 203778927
IN
01
002986
SIHO-351158723
IN
01
096711
HEALTH ALLIANCE-351158723
IN
05
100320700
IN
05
1952382533
WI
01
300109907
RR MEDICARE-351158723
IN
01
Q0070495
CMOSHO351158723&352047427
IN
Enumeration date
11/09/2005
Last updated
03/30/2023
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