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Individual

BLAKE B LEMKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2793 LINEVILLE RD, GREEN BAY, WI 54313-7152
(920) 496-4700
(920) 496-4704
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46009
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43508600
WI
Enumeration date
07/14/2006
Last updated
07/30/2019
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