Search › Minnesota › 164W00000X
Matthew Blade, LPN
NPI 1881918183 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4646 W Pioneer Rd
Duluth, MN 55803 - Phone
- (218) 256-0238
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 372500000X
376J00000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-16
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 Minnesota