Individual
CYNTHIA L BLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
843
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42954220
—
WI
Enumeration date
11/15/2005
Last updated
03/12/2021
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