Individual
DAVID ALAN BLUEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(999) 999-9999
(608) 833-0999
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D41691
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172761300
—
MD
Enumeration date
04/22/2006
Last updated
01/26/2021
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