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Individual

DR. BLAKE MILLAR FECHTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
54241
KY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
54241
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
54241
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/12/2015
Last updated
04/23/2024
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