Individual
BLAKE HOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1919 LAKE AVE STE 104, PLYMOUTH, IN 46563-7830
(574) 948-5170
(574) 948-5498
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 948-5170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02005665A
IN
390200000X
Student in an Organized Health Care Education/Training Program
5101021123
MI
Other
Enumeration date
04/16/2014
Last updated
05/13/2026
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