Most Relevant Information
Provider Data
| NPI Number: | 1003316167 |
| Provider Name: | MARY E BLEMKE CST/CSFA |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 180066 |
Most Important Dates
| Enumeration Date: | 02/15/2018 |
| Last Updated: | 02/15/2018 |
Provider Practice Location
3200 WESTHILL DR STE 201
WAUSAU
WI
544014705
Practice Location Phone/Fax
| Phone: | 7158472382 |
| Fax: | 7158472381 |
Provider Mailing Location
3200 WESTHILL DR STE 201
WAUSAU
WI
544014705
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |