Individual
KATHRYN BLUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3870
WI
363AM0700X
Medical Physician Assistant
PA00547
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019171
RI MEDICARE
RI
01
—
11232010
BCBSRI
RI
01
—
12092010
NHPRI
RI
01
—
939025129
RI MEDICARE GROUP
RI
05
—
KB82936
—
RI
Enumeration date
03/18/2010
Last updated
09/29/2016
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