BRAD A BLAKER

PONTIAC, MI
NPI1790769545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  83418)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: OH  34.016136)
207P00000X Emergency Medicine
(Licence: IN  02006247A)
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: MI  5101013885)
Enumeration Date2005-12-05
Last Update Date2024-08-22
Business Address
BRAD A BLAKER DO
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5327
Mailing Address
BRAD A BLAKER DO
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5327