Individual provider · Type 1 NPI
Edward Spencer Blake
Neurology Physician · Madison, WI
NPI number
1780204875
Active
Practice location
600 Highland Ave
Madison, WI 53792-0001
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Other practice locations
- 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-7772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 76695-20 (WI) |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 76695-20 (WI) |
| Neurology Physician | 2084N0400X | MD219524 (OR) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1780204875
Edward Spencer Blake's National Provider Identifier is 1780204875, issued on Apr 20, 2020. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Madison, WI. The record was last updated on Aug 5, 2026.