Blake Habisch
Blake Habisch is a Student in an Organized Health Care Education/Training Program in West Des Moines, Iowa. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
8025 Grand AveWest Des Moines, IA 50266-5360
Phone: (515) 271-1400
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1942092978 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2025 |
| Last updated in NPPES | May 17, 2025 |
| Certification date | May 17, 2025 |
| Mailing address | 1904 Forest Ridge Cir, Buffalo, MN 55313-9302 |
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Sravani Gopaluni
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