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Carolyn Blanc, MD
Family Medicine Physician in Kimberly, Wisconsin
NPI 1790711620

Carolyn Blanc is a Family Medicine Physician based in Kimberly, WI. Carolyn Blanc practices in Kimberly, WI and has the professional credentials of MD. The NPI Number for Carolyn Blanc is 1790711620 and holds a License No. 40082 (Wisconsin).

The current practice location address for Carolyn Blanc is 520 W 3Rd St, Kimberly, WI and can be reached out via phone at 920-788-7680 and via fax at 920-788-7688.

Location: 520 W 3Rd St, Kimberly, WI, 54136-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790711620
Provider Name
Carolyn Blanc
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
520 W 3Rd St, Kimberly, WI, 54136-1300
Phone Number
920-788-7680
Fax Number
920-788-7688
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005945003 01 WI MEDICARE PTAN
3256100 05 WI
institution
Provider Business Practice Location Address Details
Address
520 W 3Rd St
City
Kimberly
State
Wisconsin
Zip
54136-1300
Phone Number
920-788-7680
Fax Number
920-788-7688
person
Provider Business Mailing Address Details
Address
520 W 3Rd St
City
Kimberly
State
Wisconsin
Zip
54136-1300
Phone Number
920-788-7680
Fax Number
920-788-7688
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
40082 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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