Individual
ELISE MAE BLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 544-7111
Mailing address
N6990 SUGARBUSH RD, GLENBEULAH, WI 53023-1146
(920) 838-5148
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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