Individual
KRISTIN E BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, L.AC.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-2888
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-2888
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81199
WI
Other
Enumeration date
03/07/2014
Last updated
01/10/2023
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