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Blake Wooten

NPI 1134608870 · on the registry since 2018

Practice

Address
2820 Stanley J Marshall Center
Brookings, SD 57007
Phone
(623) 258-7634
Clinicians at this address
2

Additional practice sites

  • 812 University St, Pella, IA

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-27

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 South Dakota