Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA GOEKE BLACKBURN, PA-C
Active Sole ProprietorSAMANTHA GOEKE BLACKBURN, PA-C is a Physician Assistant healthcare provider located in MENOMONEE FALLS, Wisconsin. NPI 1942674353 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MENOMONEE FALLS, WI
Registration Details
- NPI Number
- 1942674353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2015 (10.721969613557 yrs)
- Last Updated
- Oct 6, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
W180N8000 TOWN HALL RDMENOMONEE FALLS, WI, 530514002Browse WI providers · Browse ZIP 53051
- Phone
- 2625323600
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MENOMONEE FALLS, WI
| Name | Credential | NPI |
|---|---|---|
| DANA M. FIELDS | PA-C | 1093711236 |
| PHILLIP ZALOG | PA | 1548255508 |
| CHRISTINA DZUBINSKI | PAC | 1609836956 |
| PAUL BURGER | PAC | 1760442495 |
| CAROLYN QUELLA | PAC | 1841256344 |
| DON D. AXT | P.A. | 1154366367 |
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.