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Angela Blake

NPI 1528559119 · on the registry since 2018

Practice

Address
500 W Silver Spring Dr Ste 200
Glendale, WI 53217
Phone
(414) 510-9212
Organisation at this address
Babynme Llc
Mass Medical Inc
Myc Holdings Llc
Sds Health Care Inc
Envision Health Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-20

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