Search › Wisconsin › 152W00000X
Blade Grupe, OD
NPI 1023761103 · on the registry since 2022
Practice
- Address
- 1626 Tuttle St Ste 1
Baraboo, WI 53913 - Phone
- (608) 356-2020
- Fax
- (608) 355-7055
- Organisation at this address
- Dean Health Systems, Inc.
Dean Health Systems, Inc.
Dean Retail Services, Inc.
St. Marys Dean Ventures Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 428 Windmere Dr Ste 100, State College, PA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
390200000X - Licence states on file
- PA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-19
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 Wisconsin