Blake, Andrea C

Blake, Andrea C is an individual health care provider with primary practice located at 57850 Van Dyke Suite 150, Washington Township MI 48307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blake, Andrea C can be contacted via phone (586) 992-9567.

Contact Information

Primary practice address
57850 Van Dyke Suite 150 Washington Township MI 48307
Phone: (586) 992-9567
Fax: (586) 992-9568
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301061308 Michigan

Profile Details

NPI number 1073606026
LBN Legal business name Blake, Andrea C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Nov 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073606026 NPPES
Michigan MEDICAID 4389585

Popular Providers