Shawn Blakley's National Provider Identifier (NPI) Details
Shawn Blakley, MSE, CADCIII
NPI: 1417022468
Enumeration Date: 2006-11-22
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 130 E WALNUT ST, SUITE 706, GREEN BAY, WI
Phone: 920-437-8256
Primary Practice Address: 130 E WALNUT ST, SUITE 706, GREEN BAY, WI
Practice's phone: 920-437-8256