Individual
BLAKE CHARLES WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
68286
MN
207L00000X
Anesthesiology Physician
Primary
81568
WI
Other
Enumeration date
03/25/2019
Last updated
07/25/2023
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