Andrea C Blake M.D.

NPI 1073606026 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1073606026
Gender Female
Enumeration Date 10/02/2006
Last Updated 10/14/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
57850 VAN DYKE
SUITE 150
WASHINGTON TOWNSHIP MI, 48307, US
Phone (586) 992-9567
Fax (586) 992-9568
Business Location
1202 WALTON BLVD.
SUITE 216
ROCHESTER MI, 48307, US
Phone (248) 656-2022
Fax (248) 656-4865
Toxanomy
Taxonomy Code 207V00000X
License State Michigan
License Number 4301061308
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According to our database, Andrea C Blake M.D. NPI is 1073606026, taxonomy code is 207V00000X and license number is 4301061308, license state is located at Michigan. Andrea C Blake M.D. physically located at 57850 Van Dyke, Washington Township MI, 48307. NPI Number Andrea C Blake M.D. has the Individual type.

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1073606026 NPI number is provided on an as is basis without warranty of any kind. 1073606026 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea C Blake M.D. are for informational purposes only.