Individual
EDWARD SPENCER BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
76695-20
WI
2084N0400X
Neurology Physician
MD219524
OR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
76695-20
WI
Other
Enumeration date
04/20/2020
Last updated
08/05/2026
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