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Individual

DR. GRACE C BLITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3655
(608) 263-8500
(608) 263-9167
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036153596
IL
2085R0001X
Radiation Oncology Physician
Primary
71953-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036153596
IL
05
1053844852
WI
Enumeration date
04/07/2017
Last updated
07/28/2023
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