Benjamin Diedrich
Benjamin Diedrich is a Student in an Organized Health Care Education/Training Program in Wausau, Wisconsin. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1100 Lake View DrWausau, WI 54403-6799
Phone: (715) 848-4600
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1396429858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 14, 2023 |
| Last updated in NPPES | June 14, 2023 |
| Certification date | June 13, 2023 |
| Mailing address | 1900 Westwood Dr Ste 3100, Wausau, WI 54401-7843 |
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