Individual provider · Type 1 NPI

Benjamin Richard Tellier, PA-C

Medical Physician Assistant · Madison, WI

NPI number 1033766159 Active

Practice location

600 Highland Ave
Madison, WI 53792-3252

Call (608) 263-0946 Map

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085007226 (IL)
Medical Physician Assistant Primary 363AM0700X7777 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1033766159

Benjamin Richard Tellier, PA-C's National Provider Identifier is 1033766159, issued on Aug 22, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on May 16, 2024.