Dr DONNEVAN BLAKE is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 2003 from University Of Cincinnati College Of Medicine.
THEDACARE INCORPORATED
1818 N MEADE ST
APPLETON
WI
549113454
Tel: 9207357645
| Npi | 1801854898 |
| Pac Id | 4385727486 |
| Professional Enrollment Id | I20090923000493 |
| Last Name | BLAKE |
| First Name | DONNEVAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | THEDACARE INCORPORATED |
| Group Practice Pac Id | 1759294887 |
| Number Of Group Practice Members | 478 |
| Line 1 Street Address | 1818 N MEADE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | APPLETON |
| State | WI |
| Zip Code | 549113454 |
| Phone Number | 9207357645 |
| Hospital Affiliation Ccn 1 | 520049 |
| Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 521358 |
| Hospital Affiliation Lbn 2 | MINISTRY DOOR COUNTY MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 521356 |
| Hospital Affiliation Lbn 3 | BELLIN HEALTH OCONTO HOSPITAL |
| Hospital Affiliation Ccn 4 | 230055 |
| Hospital Affiliation Lbn 4 | DICKINSON COUNTY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 231337 |
| Hospital Affiliation Lbn 5 | OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP |
| Professional Accepts Medicare Assignment | Y |
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