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Individual

DR. MARK FRANCIS BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6002 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-4902
(414) 963-0676
(414) 755-0743
Mailing address
6002 N PORT WASHINGTON RD, MILWAUKEE, WI 53217
(414) 963-0676
(414) 755-0743

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
51682-020
WI

Other

Enumeration date
06/21/2006
Last updated
02/14/2025
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