Individual
DR. BLAKE FENKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6905 ROCHESTER RD, TROY, MI 48085-1282
(248) 828-1100
(248) 498-7594
Mailing address
6905 ROCHESTER RD, TROY, MI 48085-1282
(248) 828-1100
(248) 498-7594
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101021549
MI
207X00000X
Orthopaedic Surgery Physician
Primary
5101026388
MI
Other
Enumeration date
04/28/2015
Last updated
11/12/2021
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