Dr. Blake Ryan Movitz, MD
Dr. Blake Ryan Movitz, MD is a General Surgery in Southfield, Michigan. Graduated from Michigan State University College of Human Medicine in 2014, 12 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Minnesota.
- Years since qualifying
- 12
- Trained at
- Michigan State University College of Human Medicine
- Licensed in
- MI, MN
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
22401 Foster Winter DrSouthfield, MI 48075-3724
Phone: (313) 889-3456
Fax: (313) 429-1021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1 William Carls Dr Ste 270, Commerce Township, MI 48382-2201 — (313) 889-3456
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 4301501607 (MI) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 65467 (MN) |
Record details
| NPI number | 1134548696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 14, 2014 |
| Last updated in NPPES | July 30, 2024 |
| Certification date | July 30, 2024 |
| Mailing address | 43422 W Oaks Dr Ste 301, Novi, MI 48377-3300 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Also practises | GASTROENTEROLOGY |
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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