Individual
ANDREA C BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57850 VAN DYKE, SUITE 150, WASHINGTON TOWNSHIP, MI 48307
(586) 992-9567
(586) 992-9568
Mailing address
1 FORD PLACE, STE 3A, ROCHESTER, MI 48307-1886
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301061308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4389585
—
MI
Enumeration date
10/02/2006
Last updated
02/04/2026
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