Individual
DR. BLADE ARON GRUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1626 TUTTLE ST STE 1, BARABOO, WI 53913-1501
(608) 356-2020
(608) 355-7055
Mailing address
118 S CHURCH ST, ALMA CENTER, WI 54611-7711
(715) 896-5626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3984
WI
152W00000X
Optometrist
OEG003891
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023761103
—
WI
Enumeration date
01/30/2022
Last updated
09/19/2024
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