Adam E. Blackwell, M.D.

NPI #1184913055 in Port Washington, Wisconsin

Provider Information

NPI Number: 1184913055
Entity Type: Individual
Name: Adam E. Blackwell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 31, 2011
Last Updated: Sep 9, 2022

Practice Location

Address: 115 SWEETWATER BLVD
City: Port Washington
State: Wisconsin
ZIP Code: 53074-2657
Phone: (920) 476-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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