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Individual

BRIAN BLINDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1001 FOURIER DR STE 200, MADISON, WI 53717-1958
(608) 740-2001
(608) 740-2002
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3144-23
WI
363AM0700X
Medical Physician Assistant
3144-23
WI

Other

Enumeration date
03/27/2013
Last updated
05/01/2023
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