Brenda A Blohm, MD Valid NPI

Individual provider · Family Medicine Physician · Portage, WI

NPI

1881677011

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

38801020 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2005-11-22

Last updated

2011-10-14