THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
07/07/25 07:26:57 AM

General Information

Former Name: No Former Name
Medical School: University of Ottawa, 2009
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Huronia Medical Centre
Suite 200
240 Penetanguishene Road
Midland Ontario L4R 4P4
Business Email: No Information Available
Phone: (705) 526-5825
Fax: (705) 526-0239
Address: 287 Bayshore Drive
Midland Ontario L4R 1L3
Phone: 705-527-4151
Fax: 705-526-2870

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 03 Jan 2012
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jan 03 2012
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Georgian Bay General Hospital Midland
HOSPITAL: Georgian Bay General Hospital
LOCATION: Midland

Professional Corporation Information

Corporation Name: McKenzie Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 30 Mar 2012
Shareholders:
Dr. M. Blake (CPSO#: 90948 )
Business Address: Huronia Medical Centre
Suite 200, Box 790
240 Old Penetanguishene Road
Midland Ontario L4R 4P4
(705) 526-5825

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: University of Ottawa, 2009

Practice Information

Primary Business Location: Huronia Medical Centre
Suite 200
240 Penetanguishene Road
Midland Ontario L4R 4P4
Business Email: No Information Available
Phone: (705) 526-5825
Fax: (705) 526-0239
Address: 287 Bayshore Drive
Midland Ontario L4R 1L3
Phone: 705-527-4151
Fax: 705-526-2870

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 03 Jan 2012
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jan 03 2012
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Georgian Bay General Hospital Midland
HOSPITAL: Georgian Bay General Hospital
LOCATION: Midland

Professional Corporation Information

Corporation Name: McKenzie Blake Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 30 Mar 2012
Shareholders:
Dr. M. Blake (CPSO#: 90948 )
Business Address: Huronia Medical Centre
Suite 200, Box 790
240 Old Penetanguishene Road
Midland Ontario L4R 4P4
(705) 526-5825

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. MCKENZIE MARY BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. MCKENZIE MARY BLAKE may practise only in the areas of medicine in which Dr. BLAKE is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: University of Ottawa, 2009

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 04 Jan 2012
Expired: Terms and conditions of certificate of registration Effective: 22 Dec 2011
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2009
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 04 Jan 2012

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 22 Dec 2011

DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2009