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Individual

DR. BETH ANN BLAKESLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3506 N US HIGHWAY 51, JANESVILLE, WI 53545-0726
(608) 757-5215
(608) 757-5231
Mailing address
911 LEXINGTON WAY, WAUNAKEE, WI 53597-2105
(608) 850-4000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37953 020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32509600
WI
Enumeration date
11/30/2006
Last updated
07/08/2007
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