Individual
MARY E BLEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
3200 WESTHILL DR STE 201, WAUSAU, WI 54401-4705
(715) 847-2382
(715) 847-2381
Mailing address
3200 WESTHILL DR STE 201, WAUSAU, WI 54401-4705
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
180066
WI
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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