Individual
JONATHAN LEE BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UW HOSPITAL & CLINICS, 600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 236-6400
Mailing address
UW HOSPITAL & CLINICS, 600 HIGHLAND AVE, MADISON, WI 53792-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
100173851
WI
Other
Enumeration date
04/10/2023
Last updated
08/03/2023
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