# JOHN BLEBEA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386632313
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 28809 | OK | — |
| 208600000X | Surgery Physician | 4301111451 | MI | — |
| 2086S0129X | Vascular Surgery Physician | 28809 | OK | — |
| 2086S0129X | Vascular Surgery Physician | 4301111451 | MI | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 03/31/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016666360006 | — | PA |
| 05 | — | 0828297 | — | OH |