Search › Wisconsin › 207Q00000X
Stacy Blackburn, D.O
NPI 1952551525 · on the registry since 2008
Practice
- Address
- 800 Blackhawk Avenue
Prairie Du Chien, WI 53821 - Phone
- (608) 326-0808
- Fax
- (608) 326-0810
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin