Individual
BLAKE W HILDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2620 EAGAN WOODS DR STE 100, EAGAN, MN 55121-1138
(651) 968-5200
(651) 968-5204
Mailing address
710 COMMERCE DR, SUITE 200, WOODBURY, MN 55125-0001
(651) 968-5200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
57601
WI
Other
Enumeration date
07/21/2011
Last updated
02/10/2020
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