Individual
MS. ERICA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-8912
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007453
MI
Other
Enumeration date
09/02/2015
Last updated
09/11/2025
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