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1912214933
BENJAMIN J WASS
MANITOWOC, WI
NPI
1912214933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2657-23)
Enumeration Date
2010-09-13
Last Update Date
2023-12-08
Business Address
BENJAMIN J WASS P.A.
3509 DEWEY ST
MANITOWOC, WI 54220-5813
Phone number: 920-686-5731
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Mailing Address
BENJAMIN J WASS P.A.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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