Individual
SCOTT B BLANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-9888
(608) 392-9888
Mailing address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-9888
(608) 392-4192
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
23635
IA
207Y00000X
Otolaryngology Physician
Primary
26752
WI
Other
Enumeration date
10/26/2005
Last updated
06/10/2010
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