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1134548696
BLAKE RYAN MOVITZ
SOUTHFIELD, MI
NPI
1134548696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301501607)
Additional Taxonomies
208600000X Surgery
(Licence: MN 65467)
Enumeration Date
2014-04-14
Last Update Date
2024-07-30
Business Address
Dr. BLAKE RYAN MOVITZ M.D.
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075-3724
Phone number: 313-889-3456
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Mailing Address
Dr. BLAKE RYAN MOVITZ M.D.
43422 W OAKS DR STE 301
NOVI, MI 48377-3300
Phone number: 313-889-3456
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