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Individual

DR. AMY C BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 N OAK AVENUE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65065
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
281440
MA

Other

Enumeration date
04/24/2009
Last updated
01/22/2025
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