Wisconsin
Department of Safety and Professional Services
Blankenburg, Russell N
Medicine And Surgery
License number
35536-20
Date granted
07/01/1994
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12782195
LAST UPDATED 2026-05-02 02:29:57 UTC
LAST UPDATED 2026-05-02 02:29:57 UTC
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