Luke Johnathan Blankenheim, PA-C

NPI #1174829774 in Clinton, Maryland

Provider Information

NPI Number
1174829774
Entity Type
Individual
Name
Luke Johnathan Blankenheim, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 31, 2011
Last Updated
Feb 13, 2012

Practice Location

Address
8926 WOODYARD RD
Address 2
SUITE 701
ZIP Code
20735-4220
Phone
(301) 856-1682

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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