Individual
JOHN NIKLAS BLIXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 S BURDICK ST STE 160, KALAMAZOO, MI 49007-6113
(269) 388-5864
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4220
(989) 583-4287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098800
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301098800
MI
Other
Enumeration date
06/27/2011
Last updated
08/20/2020
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