Individual
BLAKE NYGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2427
Mailing address
1001 S GEORGE ST, YORK, PA 17403-3676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OT024309
PA
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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