CURRICULUM VITAE

BOARD CERTIFICATION
American Board of Plastic Surgery

PRIVILEGES

• Columbia St. Mary’s Hospital – Ozaukee Campus, WI
• Columbia St. Mary’s Hospital – Milwaukee Campus, WI
• Riverwood Surgical Center – Milwaukee, WI
• Clinic of Cosmetic Surgery – Milwaukee, WI

APPOINTMENTS

• Medical Director – Weight Loss & Wellness

• 5201 North Port Washington Road, Milwaukee, WI 53217

UNDERGRADUATE EDUCATION

• University of Michigan - Graduate – Ann Arbor, MI

ENROLLMENT DATES:                 September 1993-May 1997

GRADUATION DATE:                   May 1, 1997

DEGREES:                                B.S. Biology – B.S. Zoology

• Oakland University – Rochester, MI

ENROLLMENT DATES:                 Summer 1994, ’95, ‘96

MEDICAL SCHOOL EDUCATION

• University of Saint Eustatius School of Medicine – Graduate

GRADUATION DATE:                   May 26, 2001

DEGREE:                                                M.D.

RESIDENCY TRAINING

• Plastic & Reconstructive Surgery- Providence Hospital – 16001 W. Nine Mile Rd., Southfield MI

•  General Surgery- North Oakland Medical Centers – Wayne State University Affiliate

AWARDS

• 2006 ASPS/PSEF Annual Senior Residents Conference
• Arlington, VA
• BEST CONGENITAL PAPER AWARD
• The New Method of Repair of the Primary Complete Bilateral Cleft Lip and Palate
• 2003 – 2004 Suilium Chowchuvech Memorial Award
• MOST OUTSTANDING JUNIOR RESIDENT
• 2003 OHEP RESEARCH FORUM – 2^nd Place
• Muscle-Sparing Thorocotomy vs. Posterolateral Thorocotomy: An alternative approach
• 2001 – 2002 Suilium Chowchuvech Memorial Award
• MOST OUTSTANDING JUNIOR RESIDENT

WORK EXPERIENCE

08/01/2006-Present        Mark F. Blake, MD, LLC                           -Plastic Surgery

07/01/2006-07/31/06     Relocation Michigan to Florida

7/01/2004- 06/30/06      Providence Hospital                                -Plastic Surgery

7/01/01-6/30/04            North Oakland Medical Ctrs                     -General Surgery

1996-1997                     Oakland Bone & Joint                              -Orthopedic Asst

Summer ’96                   Dr. Victor Maldonado                              -Radiology Asst

May – August ’91            Metro Rehab Sports Clinic                       -Sports Med. Asst

CERTIFICATION/LICENSES

• ECFMG Certified                                           0-606-765-6
• State of Michigan Board of Medicine               4301078110

• Physician License – Medical Doctor     Active

• State of Florida Board of Medicine                  ME95567

• Physician License – Medical Doctor     Active

• Candidate for Membership Status of American Board of Plastic Surgery
• Advanced Training in Botox and Fillers
• Advanced Training in Microvascular Surgery
• Advanced Cardiac Life Support (ACLS)
• Basic Life Support (BLS)
• PADI

ASSOCIATIONS/MEMBERSHIPS

• Candidate Associate Fellow American College of Surgeons (ACS)
• Detroit College of Surgeons (DCS) 2001-2004
• American Medical Association (AMA)
• American Medical School Association (AMSA)
• University of Michigan Alumni Association
• University of Michigan Association of Anthropology – Associate
• United States Golf Association (USGA) –Member

RESEARCH

• INTESTINAL OBSTRUCTION FOLLOWING BILIOPANCREATIC DIVERSION
• Mark F. Blake, MD, Amit Dwivedi, MD, Bruce Macpherson, MD, FACS, Digestive Diseases and Sciences, 2003 Apr;48(4):737-40.

• LAPAROSCOPIC COLECTOMY FOR CHRONIC DIVERTICULAR DISEASE

• Mark F. Blake, MD, Amit Dwivedi, MD, Wai Yip Chau, MD, Amod Tootla, MD, FACS, Farouq Tootla, MD, FACS, Yvan Silva, MD, FRCS(C), FACS,
• Accepted JSLS 2005

• SURGICAL TREATMENT OF A SEVERE MICROSTOMIA DEVELOPED FOLLOWÝNG LEUCOCYTOCLASTIC VASCULITIS
• Mark F. Blake, MD, Gustavo Bello Rosa, MD, Ian T. Jackson MD.
• Submitted PRS – Awaiting Publication

• INTRALESIONAL LASER THERAPY FOR TREATMENT OF HEMANGIOMAS
• Mark F. Blake, MD, Gustavo Bello Rosa, MD, Ian T. Jackson MD., Hashim M. Alani, MD
• Pending

• CHARACTERIZATION OF BONE DUST DERIVATIVES
• Ahmad Ahad, MD, Mark F. Blake, MD, Gustavo Bello Rosa, MD, Ian T. Jackson MD.
• Pending

• THE NEW METHOD OF REPAIR OF THE PRIMARY COMPLETE BILATERAL CLEFT LIP AND PALATE
• Ahmad Ahad, MD, Mark F. Blake, MD, Gustavo Bello Rosa, MD, Ian T. Jackson MD.
• Submitted – Awaiting Publication

PRESENTATIONS

OHEP RESEARCH FORUM 2003

• April, 2003, North Oakland Medical Centers, Pontiac, MI
• Muscle-Sparing Thorocotomy vs Posterolateral Thorocotomy – An alternative approach

OHEP RESEARCH FORUM 2003

• May, 2003, Meadowbrook Hall, Rochestor, MI
• Muscle-Sparing Thorocotomy vs Posterolateral Thorocotomy – An alternative approach

OHEP RESEARCH FORUM 2004

• April, 2004, North Oakland Medical Centers, Pontiac, MI
• Laparoscopic Colectomy (LSC) vs. Open Colectomy (OSC) For Chronic     Diverticular Disease (DD)

AMERICAN COLLEGE OF SURGEONS ANNUAL MEETING

• October 2003, Chicago, IL
• Laparoscopic Colectomy (LSC) vs. Open Colectomy (OSC) For Chronic     Diverticular Disease (DD) – Poster

MICHIGAN CHAPTER AMERICAN COLLEGE OF SURGEONS

• May 20, 2004, Crystal Mountain Resort, MI
• Laparoscopic Colectomy (LSC) vs. Open Colectomy (OSC) For Chronic     Diverticular Disease (DD)

MIDWESTERN SOCIETY OF PLASTIC SURGEONS

• February 2005, Chicago IL
• Use of Buccal Myomucosal Flap in Secondary Cleft Palate

PROVIDENCE HOSPITAL ANNUAL RESEARCH FORUM

• May 2005
• Surgical Treatment of a Severe Microstomia Following Leukocytoclastic Vasculitis

ASPS/PSEF ANNUAL SENIOR RESIDENTS CONFERENCE

• March 23, 2006
• The New Method of Repair of the Primary Complete Bilateral Cleft Lip and Palate: A Long term Follow -Up

PROVIDENCE HOSPITAL ANNUAL RESEARCH FORUM

• April 26, 2006
• Characterization of Bone Dust Derivatives