NPI 1003378191

Jeffrey S Blakesley, DO

Practitioner Neurology Physician Madison, WI

Practice location

Address: 20 S Park St, Madison, WI 53715-1348
Phone: (608) 287-2090
Mailing address: 7974 Uw Health CT, Middleton, WI 53562-5531

Registered specialties (3)

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 74286-21 (WI)

Other Psychiatry & Neurology providers in Wisconsin →

Neurology with Special Qualifications in Child Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 74286-21 (WI)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Wisconsin →

Registry record

NPI: 1003378191
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2019
Record last updated: 10 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.