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Dr. Leslie Jacob Benny, DO
Rheumatology Physician in Green Bay, Wisconsin
NPI 1780002717

Leslie Jacob Benny is a Rheumatology Physician based in Green Bay, WI and is specialized in Rheumatology. Leslie Jacob Benny practices in Green Bay, WI and has the professional credentials of DO. The NPI Number for Leslie Jacob Benny is 1780002717 and holds a License No. O-1729 (Wisconsin).

The current practice location address for Leslie Jacob Benny is 3263 Eaton Rd, Green Bay, WI and can be reached out via phone at 920-433-6700 and via fax at 920-433-6719.

Location: 3263 Eaton Rd, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780002717
Provider Name
Leslie Jacob Benny
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3263 Eaton Rd, Green Bay, WI, 54305-2487
Phone Number
920-433-6700
Fax Number
920-433-6719
Provider Enumeration Date
04/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3263 Eaton Rd
City
Green Bay
State
Wisconsin
Zip
54311-6830
Phone Number
920-433-6700
Fax Number
920-433-6719
person
Provider Business Mailing Address Details
Address
3263 Eaton Rd
City
Green Bay
State
Wisconsin
Zip
54311-6830
Phone Number
920-433-6700
Fax Number
920-433-6719
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
()
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
O-1729 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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