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1942853569
BENJAMIN J LUITJENS
APPLETON, WI
NPI
1942853569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4803-23)
Enumeration Date
2019-07-23
Last Update Date
2023-03-14
Business Address
BENJAMIN J LUITJENS PA-C
2105 E ENTERPRISE AVE
APPLETON, WI 54913-7862
Phone number: 920-560-1000
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Mailing Address
BENJAMIN J LUITJENS PA-C
2105 E ENTERPRISE AVE STE 112
APPLETON, WI 54913-7862
Phone number: 920-731-3111
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