STEFANIE BLAKE

DETROIT, MI
NPI1467904904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: MI  4704272308)
Enumeration Date2016-11-01
Last Update Date2016-11-01
Business Address
-- STEFANIE BLAKE
3901 BEAUBIEN CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201
Phone number: 313-745-5638
Mailing Address
-- STEFANIE BLAKE
4201 ST. ANTOINE - UHC 5D #226 UNIVERSITY PEDIATRICIANS
DETROIT, MI 48201-2153
Phone number: 313-745-4405