# MICHAEL J BLAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265411896
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 35.053889 | OH | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 35-053889 | OH | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 35.053889 | OH | — |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 02/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10826581 | CAQH | OH |
| 05 | — | 2016437 | — | OH |