Individual
CHARLES A BLANKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4590
Mailing address
P.O. BOX 3366-0210, OMAHA, NE 68176-0001
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
901
NE
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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