NPI 1154303824

Benjamin Broghammer, MD

Practitioner Diagnostic Radiology Physician Mequon, WI

Practice location

Address: 10945 N Port Washington Rd STE 201, Mequon, WI 53092-5078
Phone: (414) 434-0461

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 30364 (WI)

Other Radiology providers in Wisconsin →

Registry record

NPI: 1154303824
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2005
Record last updated: 17 Nov 2023

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.