Individual
MR. MICHAEL C BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APNP
Contact information
Practice address
725 AMERICAN AVE, POB SUITE 403, WAUKESHA, WI 53188-5031
(262) 928-5973
(262) 549-0648
Mailing address
721 AMERICAN AVE, POB SUITE 403, WAUKESHA, WI 53188-5071
(262) 928-5973
(262) 549-0648
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3973-33
WI
Other
Enumeration date
08/14/2014
Last updated
02/01/2016
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