SEAN THOMAS BENHAM

MANITOWOC, WI
NPI1972598704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WI  33608020)
Enumeration Date2005-09-19
Last Update Date2007-07-08
Business Address
-- SEAN THOMAS BENHAM MD
1765 N 18TH ST
MANITOWOC, WI 54221-0997
Phone number: 920-482-0575
Mailing Address
-- SEAN THOMAS BENHAM MD
PO BOX 997
MANITOWOC, WI 54221-0997
Phone number: 920-482-0575