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BLADE GRUPE, OD

OD

Optometrist

NPI: 1023761103IndividualAccepts Medicare

Specialties, Licenses & Credentials

Optometrist

Code: 152W00000X

OEG003891(PA)3984(WI)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryOPTOMETRY

Education

OTHER

Class of 2022

Contact & Hours

Via practice · 2 locations total

Address
1626 TUTTLE ST STE 1
BARABOO, WI 53913

Quick Facts

NPI
1023761103
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
2
Years in Practice
4

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