Bruce E Benedict, O.D.

NPI #1710971841 in Grantsburg, Wisconsin

Provider Information

NPI Number: 1710971841
Entity Type: Individual
Name: Bruce E Benedict, O.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 5, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 617 S PINE ST
City: Grantsburg
State: Wisconsin
ZIP Code: 54840-7935
Phone: (715) 463-2459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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