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1194434167
BENJAMIN MARK VILLWOCK
GREEN BAY, WI
NPI
1194434167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 13270-33)
Enumeration Date
2022-11-18
Last Update Date
2023-04-17
Business Address
BENJAMIN MARK VILLWOCK APNP
725 S WEBSTER AVE STE 303
GREEN BAY, WI 54301-3539
Phone number: 920-431-5650
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Mailing Address
BENJAMIN MARK VILLWOCK APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7210
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