Individual
JENNIFER MARIE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 BEAUBIEN ST, CHILDRENS HOSPITAL OF MI 4TH FL, DETROIT, MI 48201-2119
(313) 745-5484
(313) 966-2423
Mailing address
4201 SAINT ANTOINE ST, UHC 5D - MAILBOX 226 UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301090782
MI
Other
Enumeration date
05/21/2008
Last updated
01/18/2017
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