BENJAMIN WISENBAKER

FORT WAYNE, IN
NPI1023424462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28217287A)
Enumeration Date2014-07-07
Last Update Date2014-07-07
Business Address
-- BENJAMIN WISENBAKER CRNA
5734 COVENTRY LN
FORT WAYNE, IN 46804-7141
Phone number: 260-436-7875
Mailing Address
-- BENJAMIN WISENBAKER CRNA
105 MCCOY ST
MONROE, LA 71203-4143
Phone number: