MD Benjamin C Gillen, NPI 1316108343
Vascular & Interventional Radiology Physician in Green Bay, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1316108343
NPI Entity Type Individual
Provider Name MD Benjamin C Gillen
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2845 Greenbrier Rd, Green Bay, WI, US
Provider Mailing Address 164 N Broadway, Green Bay, WI, US, 543032728
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0204X

Taxonomy Name Vascular & Interventional Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 63398
License State WI
Description A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Business Address

MD Benjamin C Gillen
2845 Greenbrier Rd

Green Bay, WI, US

Phone: 920-965-0007
Fax: 920-288-4956

Mailing Address

MD Benjamin C Gillen
164 N Broadway
Green Bay, WI, US
ZIP 543032728
Phone: 920-965-0007
Fax: 920-288-4956

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

63398 WI No

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

51114 MN No

2085R0204X

Allopathic & Osteopathic Physicians

Radiology

01072278A IN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
ENROLLED IA MEDICAID 05
ENROLLED MN MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 2845 Greenbrier Rd, Green Bay, WI, US

Other Providers in WI, US

NPI Name Taxonomy Address

1205582921

Timothy H Mcdonough

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Dean Health Systems, Inc

Organization

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1306426044

DDS Katherine Anne Knabe

Individual

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Individual

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1669109641

MRS. APNP, PMHNP-BC Tilly Burroughs

Individual

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1881319242

Shong Chang

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1578288924

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Organization

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1043862386

LCSW, SAC-IT Alexandra Duvall

Individual

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1073238424

D-PT Rachel Ann Lohrengel

Individual

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744 S Webster Ave

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1225531353

LPC Rebecca A Richards

Individual

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1932468576

DR. D.O. Meredith Caroline Schaffner

Individual

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1396460739

Rebecca Fafard

Individual

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Fort Healthcare, Inc.

Organization

General Acute Care Hospital

611 Sherman Ave E

Fort Atkinson, WI

1447304340

Fort Healthcare, Inc.

Organization

Skilled Nursing Facility

611 Sherman Ave E

Fort Atkinson, WI

1417993361

Fort Healthcare Inc

Organization

Counselor

611 Sherman Ave E

Fort Atkinson, WI

1669843223

MRS. LPC Holly L Doughty

Individual

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1376680330

Fort Memorial Hospital

Organization

Non-Pharmacy Dispensing Site

611 Sherman Ave E

Fort Atkinson, WI

1417450115

Fort Healthcare Inc

Organization

Rural Health Clinic/Center

500 Mcmillen St

Fort Atkinson, WI

1063566966

Fort Healthcare, Inc

Organization

Home Health Agency

611 Sherman Ave E

Fort Atkinson, WI

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