Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID P BLAKE, MD
ActiveDAVID P BLAKE, MD is a Vascular Surgery healthcare provider located in ST PAUL, Minnesota. NPI 1548233125 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · ST PAUL, MN
Registration Details
- NPI Number
- 1548233125
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.522256624036 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25966 (MN)
Practice Information
- Address
-
640 JACKSON STREETMC 11503KST PAUL, MN, 551022502Browse MN providers · Browse ZIP 55102
- Phone
- 6512543462
- Fax
- 6512541603
- Primary Specialty
-
Vascular Surgery
2086S0129X
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.