STEVE L BLACKBURN, MHA, MPAS, PA-C, Surgical MENOMONEE FALLS, WI

Contact Information

STEVE L BLACKBURN, MHA, MPAS, PA-C

W180N8085 TOWN HALL RD
HEART & VASCULAR CENTER CLINIC
MENOMONEE FALLS, WI 53051-3518

Phone: 262-532-1300
Fax: 262-532-1340
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for STEVE L BLACKBURN · (Male)

NPI Number	`1487084422`
Status	Active
Credentials	MHA, MPAS, PA-C
Entity	Individual
Enumeration date	11/12/2013
Last updated	08/15/2016 - About 10 years ago
Sole proprietor ¹	No
Identifiers	WI License # 3230-023 WI Medicaid 1487084422
Hospital affiliation(s)	COLUMBIA ST MARY'S HOSPITAL MILWAUKEE - (Acute Care) 2323 N LAKE DR MILWAUKEE, WI 53211

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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STEVE L BLACKBURN, MHA, MPAS, PA-C – NPI #1487084422Surgical

Contact Information

Specialty

Surgical

Physician Assistant

NPI Profile & details for STEVE L BLACKBURN · (Male)

Reviews for STEVE L BLACKBURN

STEVE L BLACKBURN, MHA, MPAS, PA-C – NPI #1487084422
Surgical