Individual
DR. BRETT MATTHEW BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
Mailing address
8903 MANTON AVE, PLYMOUTH, MI 48170-4120
(248) 953-4326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.015322
OH
207P00000X
Emergency Medicine Physician
5101023615
MI
207P00000X
Emergency Medicine Physician
5151009691
MI
Other
Enumeration date
06/29/2017
Last updated
08/04/2021
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