MR. Matthew Lawrence Benish, PA-C, RD
NPI #1104360650 in Wisconsin Rapids, Wisconsin
Provider Information
- NPI Number
- 1104360650
- Entity Type
- Individual
- Name
- MR. Matthew Lawrence Benish, PA-C, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, RD
- Enumeration Date
- Dec 16, 2016
- Last Updated
- Dec 16, 2016
Practice Location
- Address
- 555 W GRAND AVE
- Address 2
- B-2
- City
- Wisconsin Rapids
- State
- Wisconsin
- ZIP Code
- 54495
- Phone
- (715) 424-4682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Physician Assistant |
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