Individual
NICOLE L BAUMANN-BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6236
(608) 833-6932
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1692
WI
208000000X
Pediatrics Physician
49593-020
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
49593
WI
208M00000X
Hospitalist Physician
49593-020
WI
Other
Enumeration date
04/28/2006
Last updated
07/09/2025
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