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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL TODD BLAKE, DO

Active

Emergency Medicine · SOLDOTNA, AK

Registration Details

NPI Number
1588855803
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2007 (18.709456011275 yrs)
Last Updated
Oct 7, 2020
Licenses
20A11305 (CA)
DO1534 (NV)
7612 (AK)

Practice Information

Address
250 HOSPITAL PLACE
CENTRAL PENINSULA HOSPITAL
SOLDOTNA, AK, 99669
Browse AK providers · Browse ZIP 99669
Phone
5302088388
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in SOLDOTNA, AK

Name Credential NPI
DR. PETER IAN ANDERSON M.D. 1700866126
CYNTHIA SUE MILDBRAND MD 1174595128
JAMES LEVINE MD 1134194772
DR. NED ALAN MAGEN DO 1982631743
DR. CHARLES CHRIS MICKELSON M.D. 1447275318
DR. ROBERT LEDDA M.D. 1487712360
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.