Individual
ROBERT D BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF ENDOCRINOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6723
(414) 955-6210
Mailing address
9200 W WISCONSIN AVE, DIVISION OF ENDOCRINOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6723
(414) 955-6210
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36590
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326015009
—
WI
Enumeration date
03/02/2006
Last updated
01/09/2014
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