Individual
BLAKE FITZGERREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 ALTA VISTA ST, DUBUQUE, IA 52001-4327
(563) 590-8212
Mailing address
1450 ALTA VISTA ST, DUBUQUE, IA 52001-4327
(563) 590-8212
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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