Blake Charles Mikesell, DDS
NPI #1689300659 in Walled Lake, Michigan
Provider Information
- NPI Number
- 1689300659
- Entity Type
- Individual
- Name
- Blake Charles Mikesell, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 1955 N PONTIAC TRL
- City
- Walled Lake
- State
- Michigan
- ZIP Code
- 48390-3157
- Phone
- (248) 669-2311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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