Individual
DR. BLAKE STEVEN CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4570 CTY. HWY. 61, MOOSE LAKE, MN 55767-9401
(218) 485-4491
(218) 485-4724
Mailing address
4570 CTY. HWY. 61, MOOSE LAKE, MN 55767-9401
(218) 485-4491
(218) 485-4724
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
68192
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2018
Last updated
06/03/2022
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