Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Blank, MD

Individual provider Surgery Physician · NPI 1760800312

Jacqueline Blank, MD is a General Surgery in Milwaukee, Wisconsin. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2014, 12 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
WI
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave Trauma Surgery
Milwaukee, WI 53226-3522
Phone: (414) 955-1700
Fax: (414) 955-0072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 — (414) 955-6900
  • W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 — (262) 255-2500
  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-5800

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 64645 (WI)
Surgery Physician Taxonomy 208600000X · Licence 64645 (WI)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 64645 (WI)

Record details

NPI number1760800312
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESAugust 3, 2023
Certification dateAugust 1, 2023
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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