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Individual
DR. MICHAEL STUART BLUE
Active
Individual
DR. MICHAEL STUART BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42482
MN
207Q00000X
Family Medicine Physician
Primary
O-1138
ID
207Q00000X
Family Medicine Physician
OP60271117
WA
Other
Enumeration date
06/03/2006
Last updated
04/13/2018
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