Most Relevant Information
Provider Data
| NPI Number: | 1003329145 |
| Provider Name: | BEN CHRISTIAN KASPER ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2017 |
| Last Updated: | 11/12/2017 |
Provider Practice Location
1018 N 20TH ST
SUPERIOR
WI
548806705
Practice Location Phone/Fax
| Phone: | 6512857105 |
| Fax: |
Provider Mailing Location
1018 N 20TH ST
SUPERIOR
WI
548806705
Provider Mailing Phone/Fax
| Phone: | 6512857105 |
| Fax: |