Blake Donald Jordan, DO

NPI #1043899248 in La Crosse, Wisconsin

Provider Information

NPI Number: 1043899248
Entity Type: Individual
Name: Blake Donald Jordan, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Apr 5, 2021
Last Updated: Aug 27, 2024

Practice Location

Address: 1836 SOUTH AVE
City: La Crosse
State: Wisconsin
ZIP Code: 54601-5429
Phone: (608) 782-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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