Individual
MS. CHERYL BLASCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5253
(414) 259-0469
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5253
(414) 259-0469
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
92996
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004006261A
HUMANA
—
05
—
1013961713
—
WI
Enumeration date
05/19/2006
Last updated
12/02/2016
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