| Doctor Name: | BENJAMIN MILANOWSKI |
| NPI Number: | 1043652308 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 28175747A |
| Business Practice Address: | 500 Indiana Ave Winslow, AZ - 860472169 |
| Business Phone Number: | 9282896230 |
| Business Fax Number: | 9282896229 |
| Mailing Address: | 500 Indiana Ave, WINSLOW |
| State: | AZ |
| Postal Code: | 860472169 |
| Phone Number: | 9282896230 |
| Fax Number: | 9282896229 |
| NPI Enumeration Date: | 07/26/2013 |
| NPI Last Update Date: | 07/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | 28175747A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |