Kyle Raymond Blindauer, PA-C | |
N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | |
(262) 303-5055 | |
(262) 303-5057 |
Full Name | Kyle Raymond Blindauer |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | N15w28300 Golf Rd, Pewaukee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700343753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 8140-23 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Kyle Raymond Blindauer, PA-C N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055 | Kyle Raymond Blindauer, PA-C N15w28300 Golf Rd, Pewaukee, WI 53072-4800 Ph: (262) 303-5055 |
Nickolas Rukamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Mr. James C Bell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-544-5311 Fax: 262-544-6820 | |
Ryan Hamm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-544-5311 Fax: 262-544-6820 | |
Mrs. Meghan Victoria Klinck, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Melissa Malloy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Julie Skrypchak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 | |
Adam C Grimm, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 |