Jeffrey A Blink is a Surgery in Green Bay, Wisconsin. Jeffrey A Blink practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jeffrey A Blink is 1376570796. The last update date is 2016-01-11.
Jeffrey A Blink's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9202888250 and fax number 9202888255. The mailing address for Jeffrey A Blink is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey A Blink |
|---|---|
| Address | 164 N Broadway, Green Bay, Wisconsin |
| Phone Number | 9202888250 |
| Fax Number | 9202888255 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376570796 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2016-01-11 |
Provider Mailing Address Detail
| Address | 164 N Broadway |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032728 |
| Phone Number | 9202888250 |
| Fax Number | 9202888255 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 30107 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104470257 | MI | -- | |
| 104358337 | MI | -- | |
| 31473700 | WI | -- | |
| 770001953 | WI | RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey A Blink by the Centers for Medicare & Medicaid Services?
The Jeffrey A Blink has been issued the NPI (National Provider Identifier) 1376570796 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jeffrey A Blink is physically located?
The Jeffrey A Blink is situated at the following address: 164 N Broadway, Green Bay, WI 543032728.
What is Jeffrey A Blink's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey A Blink's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376570796 to Jeffrey A Blink?
The Jeffrey A Blink received its 1376570796 assignment from the Centers for Medicare & Medicaid Services on 2006-06-28.
As of what date was the information pertaining to Jeffrey A Blink, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey A Blink, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-01-11.
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