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Individual

SHARON KAY BLATTERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
30600 TELEGRAPH RD, SUITE 3275, BINGHAM FARMS, MI 48025-4530
(248) 723-9613
(248) 723-9615
Mailing address
30600 TELEGRAPH RD, SUITE 3275, BINGHAM FARMS, MI 48025-5718
(248) 723-9613
(248) 723-9615

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704208896
MI

Other

Enumeration date
08/03/2012
Last updated
08/06/2012
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