# MARTIN BLANK MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629493630
- **Authorized official:** MARTIN L BLANK MD (PROVIDER)
- **Authorized official phone:** (989) 754-3349

## Contact information

- **Practice address:** 4701 TOWNE CENTRE RD, SUITE 202, SAGINAW, MI 48604-2834
- **Practice address phone:** (989) 355-1982
- **Practice address fax:** (989) 355-1210
- **Mailing address:** 3061 CHRISTY WAY, SAGINAW, MI 48603-2224
- **Mailing address phone:** (989) 791-2455
- **Mailing address fax:** (989) 791-1392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 4301058197 | MI | Yes |

## Other

- **Enumeration date:** 02/27/2014
- **Last updated:** 11/04/2014