DR. Russell Blankenburg, MD

NPI #1104893577 in Brookfield, Wisconsin

Provider Information

NPI Number: 1104893577
Entity Type: Individual
Name: DR. Russell Blankenburg, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Mar 3, 2006
Last Updated: Dec 7, 2009

Practice Location

Address: 17000 W NORTH AVE
Address 2: SUITE 200E
City: Brookfield
State: Wisconsin
ZIP Code: 53005-4423
Phone: (262) 782-4270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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