Individual provider · Type 1 NPI

Steve L. Blackburn, MHA, MPAS, PA-C

Surgical Physician Assistant · Menomonee Falls, WI

NPI number 1487084422 Active

Practice location

W180N8085 Town Hall Rd, Heart & Vascular Center Clinic
Menomonee Falls, WI 53051-3518

Call (262) 532-1300 Map

Fax (262) 532-1340

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3230-023 (WI)
Surgical Physician Assistant Primary 363AS0400X3230-023 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1487084422

Steve L. Blackburn, MHA, MPAS, PA-C's National Provider Identifier is 1487084422, issued on Nov 12, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Menomonee Falls, WI. The record was last updated on Aug 15, 2016.