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George Wm. Bensch, MD
Specialist in Stockton, California
NPI 1508839457

George Wm. Bensch is a Specialist based in Stockton, CA. George Wm. Bensch practices in Stockton, CA and has the professional credentials of MD. The NPI Number for George Wm. Bensch is 1508839457 and holds a License No. C034965 (California).

The current practice location address for George Wm. Bensch is 4628 Georgetown Pl, Stockton, CA and can be reached out via phone at 209-478-6177 and via fax at 209-478-6219.

Location: 4628 Georgetown Pl, Stockton, CA, 95207-6204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508839457
Provider Name
George Wm. Bensch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4628 Georgetown Pl, Stockton, CA, 95207-6204
Phone Number
209-478-6177
Fax Number
209-478-6219
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C349650 05 CA
ZZZ75721Z 01 CA MEDI-CAL GRP ID NUMBER
institution
Provider Business Practice Location Address Details
Address
4628 Georgetown Pl
City
Stockton
State
California
Zip
95207-6204
Phone Number
209-478-6177
Fax Number
209-478-6219
person
Provider Business Mailing Address Details
Address
4628 Georgetown Pl
City
Stockton
State
California
Zip
95207-6204
Phone Number
209-478-6177
Fax Number
209-478-6219
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C034965 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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