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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDA A BLOHM, MD

Active

BRENDA A BLOHM, MD is a Family Medicine healthcare provider located in PORTAGE, Wisconsin. NPI 1881677011 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORTAGE, WI

Registration Details

NPI Number
1881677011
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2005 (20.7029664511 yrs)
Last Updated
Oct 14, 2011
License
38801020 (WI)

Practice Information

Address
2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI, 539019257
Browse WI providers · Browse ZIP 53901
Phone
6087454598
Fax
6087456242
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PORTAGE, WI

Name Credential NPI
SUSAN H KRECKMAN MD 1376527002
DR. JAMIE JOHN KLING DO 1184683310
BEATRIZ SOMOZA-BLANCO MD 1598724106
DR. ROBERT A. HENRY JR. D.O. 1740240308
SUSAN E PINEDA MD 1922061316
BRADLEY K SCHNEE MD 1821055583
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.