Dr Nathan A Blankenheim, MD | |
1222 E Woodland Ave, Barron, WI 54812-1765 | |
(715) 838-5222 | |
Not Available |
Full Name | Dr Nathan A Blankenheim |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1222 E Woodland Ave, Barron, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871989657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 66977 (Wisconsin) | Primary |
Entity Name | Marshfield Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1740239557 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000112 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Entity Name | Lakeview Medical Center Inc Of Rice Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Mailing Address | Practice Location Address |
---|---|
Dr Nathan A Blankenheim, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Dr Nathan A Blankenheim, MD 1222 E Woodland Ave, Barron, WI 54812-1765 Ph: (715) 838-5222 |
John Joseph Graykoski, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1222 E Woodland Ave, Barron, WI 54812 Phone: 715-537-3166 |