Individual
DR. CHRISTINA MARISSA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15717 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2101
(586) 285-3810
(586) 285-3818
Mailing address
15717 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2101
(586) 285-3810
(586) 285-3818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101018278
MI
Other
Enumeration date
12/07/2009
Last updated
02/13/2015
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