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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA J BLAKE

Active Sole Proprietor

SAMANTHA J BLAKE is a Foot & Ankle Surgery healthcare provider located in KULM, North Dakota. NPI 1285222018 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · KULM, ND

Registration Details

NPI Number
1285222018
Provider Type
Individual
Gender
Female
NPI Issued
Jan 7, 2021 (5.612721476636 yrs)
Last Updated
Jan 7, 2021
Sole Proprietor
Yes

Practice Information

Address
104 2ND ST SE
KULM, ND, 584567245
Browse ND providers · Browse ZIP 58456
Phone
7018309975
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in KULM, ND

Name Credential NPI
MARY JO KINZLER 1235737396
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.