Search › Wisconsin › 207RC0000X
Donnevan Blake, M.D
NPI 1801854898 · on the registry since 2006
Practice
- Address
- 744 S Webster Ave Fl 2
Green Bay, WI 54301 - Phone
- (920) 433-3640
- Fax
- (920) 433-3716
- Organisation at this address
- Ct Imaging Llc
Daniel G Koster Md Sc
Saied Assef, M.D., S.C.
Franz O. Igler, M.D., S.C.
Bellin Memorial Hospital IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 310
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207RC0000X
- Licence states on file
- WI, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-07
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