Individual
DR. DEBORAH BLETZINGER VANDOMMELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1575 N RIVER CENTER DR, MILWAUKEE, WI 53212
(414) 283-8444
(414) 283-8450
Mailing address
720 E WISCONSIN AVE, MILWAUKEE, WI 53202-4703
(414) 661-4405
(414) 661-3915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42945
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34258200
—
WI
Enumeration date
08/05/2006
Last updated
03/07/2023
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