CHRISTINA BLAKE

HENRY FORD MACOMB HOSPITAL CORPORATION

Dr CHRISTINA BLAKE is a female medical professional, specializing in Family Medicine. She graduated in 2009 from Michigan State University College Of Osteopathic Medicine.

Contact

HENRY FORD MACOMB HOSPITAL CORPORATION

15855 19 MILE RD
CLINTON TOWNSHIP
MI
480383504

Tel: 5862632300

CHRISTINA BLAKE Information

Npi 1902134794
Pac Id 8022253293
Professional Enrollment Id I20130319000176
Last Name BLAKE
First Name CHRISTINA
Middle Name
Suffix
Gender F
Credential
Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2009
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HENRY FORD MACOMB HOSPITAL CORPORATION
Group Practice Pac Id 7911808381
Number Of Group Practice Members 241
Line 1 Street Address 15855 19 MILE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLINTON TOWNSHIP
State MI
Zip Code 480383504
Phone Number 5862632300
Hospital Affiliation Ccn 1 230047
Hospital Affiliation Lbn 1 HENRY FORD MACOMB HOSPITAL
Hospital Affiliation Ccn 2 230053
Hospital Affiliation Lbn 2 HENRY FORD HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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