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Dr. Evan Charles Benner, DO
Diagnostic Radiology Physician in Waukesha, Wisconsin
NPI 1225532716

Evan Charles Benner is a Diagnostic Radiology Physician based in Chicago, WI and is specialized in Diagnostic Radiology. Evan Charles Benner practices in Waukesha, WI and has the professional credentials of DO. The NPI Number for Evan Charles Benner is 1225532716 and holds a License No. 74994-21 (Wisconsin).

The current practice location address for Evan Charles Benner is W231N1440 Corporate Ct, Waukesha, WI and can be reached out via phone at 262-896-6000.

Location: W231N1440 Corporate Ct, Waukesha, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225532716
Provider Name
Evan Charles Benner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
W231N1440 Corporate Ct, Waukesha, WI, 60673-5044
Phone Number
262-896-6000
Fax Number
Provider Enumeration Date
03/20/2018
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100237346 05 WI
institution
Provider Business Practice Location Address Details
Address
W231N1440 Corporate Ct
City
Waukesha
State
Wisconsin
Zip
53186-1303
Phone Number
262-896-6000
Fax Number
person
Provider Business Mailing Address Details
Address
W231N1440 Corporate Ct
City
Waukesha
State
Wisconsin
Zip
53186-1303
Phone Number
262-896-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
74994-21 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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