Individual provider · Type 1 NPI

Blake Thor Bendixen, MD

Student in an Organized Health Care Education/Training Program · Royal Oak, MI

NPI number 1659909018 Active

Practice location

3711 W 13 Mile Rd
Royal Oak, MI 48073-6767

Call (248) 898-2673 Map

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

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 1659909018

Blake Thor Bendixen, MD's National Provider Identifier is 1659909018, issued on Mar 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 29, 2026.