DR. BLADE GRUPE, OD
Optometrist
Active
Individual
NPI: 1023761103
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 3984 (WI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1023761103 is the National Provider Identifier for DR. BLADE GRUPE, OD, a Optometrist provider located in Baraboo, WI. This NPI was enumerated on January 30, 2022.
DR. BLADE GRUPE, OD practices at 1626 TUTTLE ST STE 1, Baraboo, WI 53913.
Quick Facts
- NPI
- 1023761103
- Type
- Individual
- Enumerated
- Jan 30, 2022
- Last Updated
- Sep 19, 2024
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