Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark F Blake MD, SC

Organization Plastic Surgery Physician · NPI 1639739030

Mark F Blake MD, SC is a Plastic Surgery Physician in Milwaukee, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

5201 N Port Washington Rd
Milwaukee, WI 53217-4902
Phone: (414) 963-0500
Fax: (414) 755-0743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1639739030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Blake — President · (414) 963-0500
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019
Mailing address5201 N Port Washington Rd, Milwaukee, WI 53217-4902

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