Individual
MATTHEW BLAHUNKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 BIRCH HAVEN CIR, MONONA, WI 53716-3008
(248) 974-3567
Mailing address
1200 BIRCH HAVEN CIR, MONONA, WI 53716-3008
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
10/31/2023
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