Doctor Name: | DR. JOSHUA THOMAS BLUNCK |
NPI Number: | 1003078015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 53280 |
Business Practice Address: | 9290 Nw 36th St Polk City, IA - 502262079 |
Business Phone Number: | 9525951100 |
Business Fax Number: | 6122944903 |
Mailing Address: | 11995 Singletree Ln, Ste 500 EDEN PRAIRIE |
State: | MN |
Postal Code: | 553445347 |
Phone Number: | 9525951301 |
Fax Number: | 6122944903 |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 53280 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |