Individual
BLAKE HABISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8025 GRAND AVE, WEST DES MOINES, IA 50266-5360
(515) 271-1400
Mailing address
1904 FOREST RIDGE CIR, BUFFALO, MN 55313-9302
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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