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Individual
DR. BLAKE L OHLSON
Active
Individual
DR. BLAKE L OHLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302675
—
SC
01
—
P00648648
RAILROAD MEDICARE ID
SC
01
—
P00811380
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/01/2007
Last updated
05/11/2021
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