Individual
DR. DAVID G BENZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16754 W EAGLE LAKE RD, FIFTY LAKES, MN 56448-2112
(218) 763-4798
Mailing address
16754 W EAGLE LAKE RD, FIFTY LAKES, MN 56448-2112
(218) 763-4798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21573
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
21573
WI
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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