Donnevan Blake in Green Bay - Cardiovascular Disease
Donnevan Blake - NPI 1801854898
Donnevan Blake is a Cardiovascular Disease in Green Bay, Wisconsin. Donnevan Blake practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Donnevan Blake is 1801854898. The last update date is 2011-07-07.
Donnevan Blake's current location address is 744 S Webster Ave Fl 2, Green Bay, Wisconsin. You can contact this provider via phone number 9204333640 and fax number 9204333716. The mailing address for Donnevan Blake is 744 S Webster Ave Fl 2, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donnevan Blake |
|---|---|
| Address | 744 S Webster Ave Fl 2, Green Bay, Wisconsin |
| Phone Number | 9204333640 |
| Fax Number | 9204333716 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801854898 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2011-07-07 |
Provider Mailing Address Detail
| Address | 744 S Webster Ave Fl 2 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013505 |
| Phone Number | 9204333640 |
| Fax Number | 9204333716 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 52766-20 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Donnevan Blake by the Centers for Medicare & Medicaid Services?
The Donnevan Blake has been issued the NPI (National Provider Identifier) 1801854898 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Donnevan Blake is located?
The Donnevan Blake is situated at the following address: 744 S Webster Ave Fl 2, Green Bay, WI, 543013505.
What is the Donnevan Blake's specialty and taxonomy code?
The Donnevan Blake's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the Donnevan Blake receive the assignment of its 1801854898 from the Centers for Medicare & Medicaid Services?
The Donnevan Blake was issued its 1801854898 by the Centers for Medicare & Medicaid Services on 2006-05-02.
As of what date were the details related to Donnevan Blake most recently updated or revised?
The information pertaining to Donnevan Blake, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-07.