Individual
JOHN DAVID BLAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY A, ANN ARBOR, MI 48105-9484
(734) 930-7400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301034122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4463969
—
MI
Enumeration date
09/22/2006
Last updated
07/19/2019
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