| Blake Fenkell P.l.l.c. | |
|
6905 Rochester Rd Ste A Troy MI 48085-1282 | |
| (248) 828-1100 | |
| (248) 817-2203 |
| Full Name | Blake Fenkell P.l.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6905 Rochester Rd Ste A, Troy, Michigan |
| Authorized Official Name and Position | Blake Fenkell (OWNER) |
| Authorized Official Contact | 2486606898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Fenkell P.l.l.c. 6905 Rochester Rd Ste A Troy MI 48085-1282 Ph: (248) 828-1100 | Blake Fenkell P.l.l.c. 6905 Rochester Rd Ste A Troy MI 48085-1282 Ph: (248) 828-1100 |
| NPI Number | 1154992832 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 04/29/2022 |
| Medicare PECOS PAC ID | 9638572506 |
|---|---|
| Medicare Enrollment ID | O20210729002393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154992832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Blake Fenkell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033596069 PECOS PAC ID: 5991092538 Enrollment ID: I20210729002631 |
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