Individual
MICHAEL JOSEPH BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 ALASKA FRONTAGE RD, BELGRADE, MT 59714-7909
(406) 414-3334
Mailing address
915 HIGHLAND BLVD, ATTN PFS CREDENTIALING, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12120
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578513701
—
MT
05
—
209287408
—
MO
Enumeration date
05/10/2006
Last updated
04/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us