Individual
PETER DAVID BLOCHOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
402 19TH ST S, LA CROSSE, WI 54601-5023
(414) 430-1355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139181-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100011546
—
WI
Enumeration date
07/12/2010
Last updated
02/24/2026
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