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Individual

JOHN BLAMOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 488-5450
(989) 488-5455
Mailing address
4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 488-5450
(989) 488-5455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24MA08103100
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301093855
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301093855
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301093855
MI

Other

Enumeration date
11/02/2006
Last updated
11/02/2016
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