Individual provider · Type 1 NPI

Donnevan Blake, MD

Cardiovascular Disease Physician · Green Bay, WI

NPI number 1801854898 Active

Practice location

744 S Webster Ave Fl 2
Green Bay, WI 54301-3505

Call (920) 433-3640 Map

Fax (920) 433-3716

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X52766-20 (WI)
Cardiovascular Disease Physician 207RC0000X4301095491 (MI)

Cardiovascular Disease Physician: 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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About NPI 1801854898

Donnevan Blake, MD's National Provider Identifier is 1801854898, issued on May 2, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 7, 2011.