JOHN S BLACKWOOD MD

ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.

Dr JOHN S BLACKWOOD MD is a male medical professional, specializing in General Surgery. He graduated in 1964 from Medical College Of Wisconsin.

Contact

ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.

17000 W N AVE
SUITE 104W
BROOKFIELD
WI
530054423

Tel: 2627851500

JOHN S BLACKWOOD MD Information

Npi 1093795171
Pac Id 9537127964
Professional Enrollment Id I20041230000570
Last Name BLACKWOOD
First Name JOHN
Middle Name S
Suffix
Gender M
Credential MD
Medical School Name MEDICAL COLLEGE OF WISCONSIN
Graduation Year 1964
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.
Group Practice Pac Id 8628980943
Number Of Group Practice Members 600
Line 1 Street Address 17000 W N AVE
Line 2 Street Address SUITE 104W
Marker Of Address Line 2 Suppression
City BROOKFIELD
State WI
Zip Code 530054423
Phone Number 2627851500
Hospital Affiliation Ccn 1 520136
Hospital Affiliation Lbn 1 WHEATON FRANCISCAN ST JOSEPH
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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