Individual
MADELINE BLAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 LANDER RD, PEPPER PIKE, OH 44124-4398
(440) 429-4200
Mailing address
140 FENWICK DR, BRUNSWICK, OH 44212-1393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010076RX
OH
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
09/17/2025
Last updated
02/17/2026
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