Benjamin J Luitjens, PA-C

NPI #1942853569 in Appleton, Wisconsin

Provider Information

NPI Number: 1942853569
Entity Type: Individual
Name: Benjamin J Luitjens, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 23, 2019
Last Updated: Mar 14, 2023

Practice Location

Address: 2105 E ENTERPRISE AVE
City: Appleton
State: Wisconsin
ZIP Code: 54913-7862
Phone: (920) 560-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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