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Benjamin C Gillen, MD
Diagnostic Radiology Physician in Waukesha, Wisconsin
NPI 1316108343

Benjamin C Gillen is a Diagnostic Radiology Physician based in Chicago, WI and is specialized in Diagnostic Radiology. Benjamin C Gillen practices in Waukesha, WI and has the professional credentials of MD. The NPI Number for Benjamin C Gillen is 1316108343 and holds a License No. 51114 (Wisconsin).

The current practice location address for Benjamin C Gillen is W231N1440 Corporate Ct, Waukesha, WI and can be reached out via phone at 262-896-6000 and via fax at 920-288-4956.

Location: W231N1440 Corporate Ct, Waukesha, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316108343
Provider Name
Benjamin C Gillen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
W231N1440 Corporate Ct, Waukesha, WI, 60673-5044
Phone Number
262-896-6000
Fax Number
920-288-4956
Provider Enumeration Date
06/23/2008
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ENROLLED 05 IA
100002569 05 WI
ENROLLED 05 MN
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
920-288-4956
person
Provider Business Mailing Address Details
Address
W231N1440 Corporate Ct
City
Waukesha
State
Wisconsin
Zip
53186-1303
Phone Number
262-896-6000
Fax Number
920-288-4956
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01072278A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
51114 (Minnesota)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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