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1730163569
BARRY BLACKWELL
WAUKESHA, WI
NPI
1730163569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 23556020)
Enumeration Date
2005-12-05
Last Update Date
2007-07-08
Business Address
Dr. BARRY BLACKWELL MD
741 N GRAND AVE #210
WAUKESHA, WI 53186-4820
Phone number: 262-547-2463
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Mailing Address
Dr. BARRY BLACKWELL MD
741 N GRAND AVE #210
WAUKESHA, WI 53186-4820
Phone number: 262-547-2463
Copy
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