SEAN T BENHAM MDSC

MANITOWOC, WI
NPI1093886434
Entity TypeOrganization
Authorized ContactBETTEANN DOROTHY RADUE
Manager
920-482-0575
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: WI  33608 020)
Enumeration Date2006-11-09
Last Update Date2020-08-22
Business Address
SEAN T BENHAM MDSC
1765 NORTH 18 STREET
MANITOWOC, WI 54221-0997
Phone number: 920-482-0575
Mailing Address
SEAN T BENHAM MDSC
PO BOX 997
MANITOWOC, WI 54221-0997
Phone number: 920-482-0575
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