person
Dr. Blake Joseph Hildebrand, DDS
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1124719042

Blake Joseph Hildebrand is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Blake Joseph Hildebrand practices in Detroit, MI and has the professional credentials of DDS. The NPI Number for Blake Joseph Hildebrand is 1124719042 and holds a License No. 2901601794 (Michigan).

The current practice location address for Blake Joseph Hildebrand is 4201 Saint Antoine St, Detroit, MI and can be reached out via phone at 313-745-6302.

Location: 4201 Saint Antoine St, Detroit, MI, 48201-2153
person
Provider Profile Details
NPI Number
1124719042
Provider Name
Blake Joseph Hildebrand
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4201 Saint Antoine St, Detroit, MI, 48201-2153
Phone Number
313-745-6302
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St
City
State
Zip
48201-2153
Phone Number
313-745-6302
Fax Number
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St
City
State
Zip
48201-2153
Phone Number
313-745-6302
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
2901601794 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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