Individual
DR. JOSHUA R BLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 725-0077
(920) 725-6535
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 830-5900
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036133061
IL
207X00000X
Orthopaedic Surgery Physician
52733
WI
207XX0801X
Orthopaedic Trauma Physician
036133061
IL
207XX0801X
Orthopaedic Trauma Physician
Primary
52733
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036133061
—
IL
Enumeration date
06/12/2007
Last updated
11/13/2015
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