Individual
MR. GEOFFREY L BLANKENMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSCCC-SLP
Contact information
Practice address
116 FERRIS DR, NORTH PRAIRIE, WI 53153-9455
(262) 844-7192
Mailing address
116 FERRIS DR, NORTH PRAIRIE, WI 53153-9455
(262) 844-7192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015
WI
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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