Individual
BLAKE ALAN ALTENHOFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(712) 260-2684
Mailing address
811 E COLLEGE ST APT 1-1, IOWA CITY, IA 52240-5131
(712) 260-2684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
146724
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
17159-33
WI
Other
Enumeration date
04/12/2023
Last updated
07/29/2025
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