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Dr. Blake Steven Chapman, DO
General Practice Physician in Moose Lake, Minnesota
NPI 1205324209

Blake Steven Chapman is a General Practice Physician based in Moose Lake, MN. Blake Steven Chapman practices in Moose Lake, MN and has the professional credentials of DO. The NPI Number for Blake Steven Chapman is 1205324209 and holds a License No. (Minnesota).

The current practice location address for Blake Steven Chapman is 4570 Cty. Hwy. 61, Moose Lake, MN and can be reached out via phone at 218-485-4491 and via fax at 218-485-4724.

Location: 4570 Cty. Hwy. 61, Moose Lake, MN, 55767-9401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205324209
Provider Name
Blake Steven Chapman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4570 Cty. Hwy. 61, Moose Lake, MN, 55767-9401
Phone Number
218-485-4491
Fax Number
218-485-4724
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4570 Cty. Hwy. 61
City
Moose Lake
State
Minnesota
Zip
55767-9401
Phone Number
218-485-4491
Fax Number
218-485-4724
person
Provider Business Mailing Address Details
Address
4570 Cty. Hwy. 61
City
Moose Lake
State
Minnesota
Zip
55767-9401
Phone Number
218-485-4491
Fax Number
218-485-4724
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
68192 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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