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John Blake

NPI 1134924475 · on the registry since 2025 · sole proprietor

Practice

Address
50 Pearl Ave Ste 102
Oshkosh, WI 54901
Phone
(414) 345-7781
Fax
(866) 496-2680
Organisation at this address
Safe Ride Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 2323 Lake Club Dr Ste 301, Columbus, OH

Registry record

Primary taxonomy
320900000X
320900000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-19

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 Wisconsin