Individual provider · Type 1 NPI

Benjamin Wrucke

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1417650664 Active

Practice location

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548

Call (414) 955-8998 Map

Other practice locations

  • 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 · (414) 763-6910

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Psychiatry Physician 2084P0800X84399-20 (WI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417650664

Benjamin Wrucke's National Provider Identifier is 1417650664, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 2, 2026.