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NPI Profile for JOSEPH C BENACCI in LA CROSSE, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1295739142 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/09/2005 | |
| Last updated | 05/15/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JOSEPH C BENACCI
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JOSEPH C BENACCI, MD