# GARY A BLAESING DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gary A Blaesing DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174798243
- **Authorized official:** DR. GARY A BLAESING DDS (PRESIDENT)
- **Authorized official phone:** (517) 265-7288

## Contact information

- **Practice address:** 1548 W MAUMEE, SUITE A, ADRIAN, MI 49221
- **Practice address phone:** (517) 265-7288
- **Practice address fax:** (517) 266-8408
- **Mailing address:** 1548 W MAUMEE, SUITE A, ADRIAN, MI 49221
- **Mailing address phone:** (517) 265-7288
- **Mailing address fax:** (517) 266-8408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | MI11370 | MI | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 04/29/2008