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1104135508
BENJAMIN T SKUBAL
WEST BEND, WI
NPI
1104135508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 085261)
Enumeration Date
2010-10-02
Last Update Date
2024-04-25
Business Address
Mr. BENJAMIN T SKUBAL
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095-9274
Phone number: 262-836-7300
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Mailing Address
Mr. BENJAMIN T SKUBAL
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-2764
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