MICHAEL BLAKE

LANSING, MI
NPI1295560100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501303478)
Enumeration Date2024-09-03
Last Update Date2024-09-03
Business Address
MICHAEL BLAKE
7402 WESTSHIRE DR
LANSING, MI 48917-8988
Phone number: 517-853-6800
Mailing Address
MICHAEL BLAKE
510 IRVIN ST
PLYMOUTH, MI 48170-1113
Phone number:
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