Individual
KURT BLOOMHUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 729-6088
(920) 729-6484
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43230
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34093600
—
WI
Enumeration date
06/14/2006
Last updated
03/06/2012
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