Individual
DR. BLAKE RYAN MOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(313) 889-3456
(313) 429-1021
Mailing address
43422 W OAKS DR STE 301, NOVI, MI 48377-3300
(313) 889-3456
(313) 429-1021
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301501607
MI
208600000X
Surgery Physician
65467
MN
Other
Enumeration date
04/14/2014
Last updated
07/30/2024
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