Individual
BRITTANY N R BLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2240
(608) 363-7374
Mailing address
BELOIT HEALTH SYSTEM INC., 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-5452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69203-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103647
—
WI
Enumeration date
02/26/2016
Last updated
11/12/2020
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