MARK BLOMBERG

DURAND, IL
NPI1801336995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  71267)
Enumeration Date2017-03-08
Last Update Date2020-12-18
Business Address
MARK BLOMBERG D.O.
400 S CENTER ST
DURAND, IL 61024-9590
Phone number: 815-248-3443
Mailing Address
MARK BLOMBERG D.O.
515 22ND AVE
MONROE, WI 53566-1569
Phone number: 608-324-1518