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Blake Boulka
NPI 1023668308 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6900 78th Ave N Ste 101
Brooklyn Park, MN 55445 - Phone
- (763) 432-6875
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2019-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota