Most Relevant Information
Provider Data
| NPI Number: | 1003808676 |
| Provider Name: | BENJAMIN E PHILLIPS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 44214-020 |
Most Important Dates
| Enumeration Date: | 08/18/2005 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
1111 BAYSHORE DR
MANITOWOC
WI
542205548
Practice Location Phone/Fax
| Phone: | 9206844429 |
| Fax: | 9206846892 |
Provider Mailing Location
1035 KEPLER DR
GREEN BAY
WI
543118320
Provider Mailing Phone/Fax
| Phone: | 9204909046 |
| Fax: |