Healthcare Provider Details

I. General information

NPI: 1306465026
Provider Name (Legal Business Name): ALLISON BLUMENFELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UW HOSPITAL & CLINICS 600 HIGHLAND AVE
MADISON WI
53792-0001
US

IV. Provider business mailing address

221 MICHIGAN ST NE STE 400
GRAND RAPIDS MI
49503-2538
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-6400
  • Fax:
Mailing address:
  • Phone: 616-486-9600
  • Fax: 616-486-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number4301514454
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: