Provider Demographics
NPI:1982734695
Name:WALKER, BENJAMIN J (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:J
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HIGHLAND AVE B6/319 CLINICAL SCIENCES CENTER
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:B6/319 CLINICAL SCIENCES CENTER
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-3272
Practice Address - Country:US
Practice Address - Phone:608-263-8100
Practice Address - Fax:608-263-8111
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54790207LP2900X, 207LP3000X, 207L00000X
WA60003993207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology