| Dr Blake J Edinger, DDS | |
|
15397 State Highway 32, Lakewood, WI 54138 | |
| (715) 276-6321 | |
| Not Available |
| Full Name | Dr Blake J Edinger |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 15397 State Highway 32, Lakewood, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750376968 | NPI | - | NPPES |
| 100065650 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3874 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake J Edinger, DDS 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7894 Ph: (715) 634-2541 | Dr Blake J Edinger, DDS 15397 State Highway 32, Lakewood, WI 54138 Ph: (715) 276-6321 |
Dr. Lance R. Orlinski, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-276-6321 Fax: 715-276-1428 | |
Ted A Jung, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-276-6321 Fax: 715-276-1428 | |
Eric Todd Loberg, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-276-6321 Fax: 715-276-1428 | |
Ms. Min Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15397 Wi-32, Lakewood, WI 54138 Phone: 715-276-6321 |