National Provider Identifier Database

ELLEN L BLANK, MD – NPI #1801847249
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

ELLEN L BLANK, MD
9000 W WISCONSIN AVE
PEDIATRIC GASTROENTEROLOGY
MILWAUKEE, WI53226-4874
Phone: 414-266-3690
Fax: 414-266-3676
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for ELLEN L BLANK

NPI Number 1801847249
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 02/01/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 22293
  • WI Medicaid: 1801847249
  • Other: 008006261Q HUMANA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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