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SEAN T BENHAM MDSC
NPI 1093886434
Surgery in Manitowoc, WI

Active since November 09, 2006
1765 NORTH 18 STREET, MANITOWOC, WI 54221(920) 482-0575(920) 482-0579 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sean T Benham Mdsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN T BENHAM MDSC (NPI 1093886434) is a healthcare organization registered as a surgery in Manitowoc, Wisconsin and active in the NPI registry since November 2006. The organization lists Betteann Dorothy Radue, Manager, as its authorized official.

NPPES Registry Identity

NPI1093886434
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSEAN T BENHAM MDSC
Location Address1765 NORTH 18 STREETManitowoc, WI 54221-0997
Mailing AddressPo Box 997Manitowoc, WI 54221-0997 · (920) 482-0575 · Fax (920) 482-0579
Phone(920) 482-0575
Fax(920) 482-0579
Organization SubpartNo
Authorized OfficialBetteann Dorothy RadueManager · (920) 482-0575
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093886434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 33608 020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1765 NORTH 18 STREET, Manitowoc, WI 54221
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Other Identifiers 1

Medicaid31847300WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean T Benham Mdsc's NPI number?

The NPI number for Sean T Benham Mdsc is 1093886434. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Sean T Benham Mdsc located?

Sean T Benham Mdsc is located at 1765 North 18 Street, Manitowoc, WI 54221. The listed phone number is (920) 482-0575.

What is Sean T Benham Mdsc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Sean T Benham Mdsc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.