Individual
DR. CHRISTINE A BLAKENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 RAMBLEWOOD DR., SUITE 100, EAST LANSING, MI 48823
(517) 324-9400
(517) 324-9482
Mailing address
1520 RAMBLEWOOD DR., SUITE 100, EAST LANSING, MI 48823
(517) 324-9400
(517) 324-9482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100690
PHYSICIANS HEALTH PLAN
MI
01
—
0157800124
BLUE CROSS BLUE SHIELD
MI
01
—
080D410020
BLUE CROSS BLUE SHIELD
MI
01
—
202870
MCLAREN HEALTH PLAN
MI
01
—
4053286
AETNA
MI
05
—
4167845
—
MI
Enumeration date
11/08/2005
Last updated
02/23/2012
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