NPI 1033885389

Benjamin Johnson

Practitioner Contractor Madison, WI

Practice location

Address: 2016 Kendall Ave APT 2, Madison, WI 53726-3971
Phone: (000) 000-0000

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1033885389
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2021
Record last updated: 23 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.