Individual
BLAIR LEIGH TILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2801 W KK RIVER PKWY STE 530, MILWAUKEE, WI 53215-3693
(414) 385-2400
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
72840-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100178588
—
WI
Enumeration date
03/25/2018
Last updated
02/03/2026
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