Individual
DR. WILLIAM JAMES BLANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 SAINT MARYS DR STE 505E, EVANSVILLE, IN 47714-0528
(812) 491-3236
Mailing address
801 SAINT MARYS DR STE 505E, EVANSVILLE, IN 47714-0528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054117A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200355180
—
IN
Enumeration date
03/24/2006
Last updated
05/25/2022
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