Samantha Goeke Blackburn, PA-C
NPI #1942674353 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1942674353
- Entity Type
- Individual
- Name
- Samantha Goeke Blackburn, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 23, 2015
- Last Updated
- Oct 6, 2017
Practice Location
- Address
- W180N8000 TOWN HALL RD
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-4002
- Phone
- (262) 532-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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