Individual
JAMES BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C PED
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-0583
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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