Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Richard Wiseley, MD

Individual provider Orthopaedic Surgery Physician · NPI 1174919484

Benjamin Richard Wiseley, MD is an Orthopedic Surgery in Fond Du Lac, Wisconsin. Qualified in 2015, 11 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

421 Camelot Dr
Fond Du Lac, WI 54935-8335
Phone: (920) 926-8616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Uw Hospital And Clinics, Madison, WI 53792-0001 — (608) 263-7540

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 66414 (WI)

Record details

NPI number1174919484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020
Mailing address420 E Division St, Fond Du Lac, WI 54935-4560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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