Individual
SUSAN K BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
924 RUGBY RD, CHARLOTTESVILLE, VA 22903-1606
(434) 466-3147
Mailing address
924 RUGBY RD, CHARLOTTESVILLE, VA 22903-1606
(434) 466-3147
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101237491
VA
Other
Enumeration date
05/18/2007
Last updated
07/08/2015
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