Individual
BLAKE EDWARD TITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 ST MARYS EPWORTH XING # B100, NEWBURGH, IN 47630-9497
(812) 469-8300
Mailing address
100 ST MARYS EPWORTH XING # B100, NEWBURGH, IN 47630-9497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02001669A
IN
2083X0100X
Occupational Medicine Physician
02001669A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001496690
—
IN
Enumeration date
12/29/2005
Last updated
01/24/2025
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