| David Anthony Blair, MD | |
|
9576 Hwy 70, Minocqua, WI 54548-9067 | |
| (715) 358-1000 | |
| Not Available |
| Full Name | David Anthony Blair |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 9576 Hwy 70, Minocqua, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821214735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7321 (South Dakota) | Secondary |
| 208M00000X | Hospitalist | 82500 (Wisconsin) | Primary |
| Entity Name | Salem Health Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027 |
| Mailing Address | Practice Location Address |
|---|---|
| David Anthony Blair, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | David Anthony Blair, MD 9576 Hwy 70, Minocqua, WI 54548-9067 Ph: (715) 358-1000 |
Oghomwen K Sule, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9576 Highway 70, Minocqua, WI 54548 Phone: 715-358-1000 | |
Ferry Gunawan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9576 Hwy 70, Minocqua, WI 54548 Phone: 715-358-1000 Fax: 715-358-1156 | |
Andrzej P Stryczek, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9576 Hwy 70, Minocqua, WI 54548 Phone: 715-358-1000 | |
Freddy J. Conde, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9576 Hwy 70, Minocqua, WI 54548 Phone: 715-358-1000 |