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1104893577
RUSSELL BLANKENBURG
BROOKFIELD, WI
NPI
1104893577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 35536)
Enumeration Date
2006-03-03
Last Update Date
2009-12-07
Business Address
Dr. RUSSELL BLANKENBURG MD
17000 W NORTH AVE SUITE 200E
BROOKFIELD, WI 53005-4423
Phone number: 262-782-4270
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Mailing Address
Dr. RUSSELL BLANKENBURG MD
17000 W NORTH AVE
BROOKFIELD, WI 53005-4423
Phone number: 262-782-4270
Copy
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