Search › Wisconsin › 363A00000X
Benjamin Randerson
NPI 1285332072 · on the registry since 2023 · sole proprietor
Practice
- Address
- 10400 75th St
Kenosha, WI 53142 - Phone
- (262) 948-5600
- Organisation at this address
- Akza Llc
Mea-Aea Kenosha Sc
Aurora Pharmacy Inc
Aurora Medical Group, Inc.
Best Practices Inpatient Care,Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 236
Additional practice sites
- 507 North 17th Street, Milwaukee, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin