Individual provider · Type 1 NPI

Blake Parker Prieskorn

Student in an Organized Health Care Education/Training Program · Garden City, MI

NPI number 1194667196 Active

Practice location

6245 Inkster Rd
Garden City, MI 48135-4001

Mailing address

42820 Arlington Rd
Canton, MI 48187-2304

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1194667196

Blake Parker Prieskorn's National Provider Identifier is 1194667196, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden City, MI. The record was last updated on Apr 8, 2026.