Individual
BLAKE EDWARD FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8025 GRAND AVE, WEST DES MOINES, IA 50266-5360
(515) 271-1569
Mailing address
17107 BLUE SAGE LN, URBANDALE, IA 50323-2791
(563) 340-8844
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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