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Blake Reddick
NPI 1356999387 · on the registry since 2019
Practice
- Address
- 10755 Falls Rd
Lutherville Timonium, MD 21093 - Phone
- (410) 616-7350
- Organisation at this address
- Johns Hopkins University
Johns Hopkins University
Johns Hopkins UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
163WG0000X
163WG0000X - Licence states on file
- MD, IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-16
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 Maryland