Dr RUSSELL N BLANKENBURG MD is a male medical professional, specializing in Internal Medicine. He graduated in 1993 from University Of Wisconsin Medical School.
ASCENSION MEDICAL GROUP - SOUTHEAST WISCONSIN, INC.
17000 W N AVE
SUITE 104W
BROOKFIELD
WI
530054423
Tel: 2627851500
| Npi | 1104893577 |
| Pac Id | 1850389214 |
| Professional Enrollment Id | I20040504000957 |
| Last Name | BLANKENBURG |
| First Name | RUSSELL |
| Middle Name | N |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| 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 | 520177 |
| Hospital Affiliation Lbn 2 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Hospital Affiliation Ccn 3 | 520008 |
| Hospital Affiliation Lbn 3 | WAUKESHA MEMORIAL HOSPITAL |
| 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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