Individual
PETER EDWARD BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-4020
Mailing address
5705 W LONGRIDGE DR, SEVEN HILLS, OH 44131-1735
(440) 225-6295
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.017736
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2022
Last updated
08/06/2025
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