Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN J BLAKE, M.D.
ActiveDR. BRIAN J BLAKE, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in CANTON, Ohio. NPI 1124278668 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · CANTON, OH
Registration Details
- NPI Number
- 1124278668
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2008 (17.934279518338 yrs)
- Last Updated
- Mar 18, 2011
- Licenses
-
A106986 (CA)35095075 (OH)
Practice Information
- Address
-
4760 BELPAR ST NWCANTON, OH, 447183603Browse OH providers · Browse ZIP 44718
- Phone
- 3304929200
- Fax
- 3304925454
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Orthopaedic Surgery
Other Adult Reconstructive Orthopaedic Surgery Providers in CANTON, OH
| Name | Credential | NPI |
|---|---|---|
| MELISSA BICKETT | MD | 1730332701 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.