Individual
DR. ROBERT M BLANKENBEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
12000 W CARMEN AVE, MILWAUKEE, WI 53225-2196
(414) 462-1300
Mailing address
12140 W LIBERTY CT, HALES CORNERS, WI 53130-1772
(414) 389-7275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3176
WI
152W00000X
Optometrist
4901004494
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3176-035
OPTOMETRY LICENSE
WI
Enumeration date
08/29/2008
Last updated
03/07/2023
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