NPI 1164117768

Jonathan Lee Blalock, MD

Practitioner Neurological Surgery Physician Madison, WI

Practice location

Address: Uw Hospital & Clinics 600 Highland Ave, Madison, WI 53792-0001
Phone: (608) 236-6400

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 100173851 (WI)

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Registry record

NPI: 1164117768
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2023
Record last updated: 3 Aug 2023

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.