Individual
BLAKE VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5403 NORMANDY ST, WESTON, WI 54476-2217
(715) 241-8100
(715) 241-8102
Mailing address
5403 NORMANDY ST, WESTON, WI 54476-2217
(715) 241-8102
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1300-25
WI
Other
Enumeration date
03/25/2020
Last updated
03/03/2025
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