Healthcare Provider Details

I. General information

NPI: 1306763073
Provider Name (Legal Business Name): PERRY BENZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GERMANTOWN HIGH SCHOOL W180 N11501 RIVER LANE
GERMANTOWN WI
53022
US

IV. Provider business mailing address

GERMANTOWN HIGH SCHOOL W180 N11501 RIVER LANE
GERMANTOWN WI
53022
US

V. Phone/Fax

Practice location:
  • Phone: 262-502-7254
  • Fax: 262-253-3494
Mailing address:
  • Phone: 262-502-7254
  • Fax: 262-253-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: