Individual
JOCELYN M. BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS, 600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-8100
(608) 263-0575
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
51348
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
51348
WI
Other
Enumeration date
06/19/2006
Last updated
02/02/2021
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