MARK F BLAKE MD, SC

MILWAUKEE, WI
NPI1639739030
Entity TypeOrganization
Authorized ContactMARK F BLAKE
President
414-963-0500
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
Enumeration Date2019-06-18
Last Update Date2019-06-18
Business Address
MARK F BLAKE MD, SC
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217-4902
Phone number: 414-963-0500
Mailing Address
MARK F BLAKE MD, SC
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217-4902
Phone number: 414-963-0500