Blake, David P

Blake, David P is an individual health care provider with primary practice located at 640 Jackson Street Mc 11503K, St Paul MN 55102-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Blake, David P can be contacted via phone (651) 254-3462.

Contact Information

Primary practice address
640 Jackson Street Mc 11503K St Paul MN 55102-2502
Phone: (651) 254-3462
Fax: (651) 254-1603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25966 Minnesota

Profile Details

NPI number 1548233125
LBN Legal business name Blake, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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