Individual
MATTHEW THOMAS BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6880
(989) 894-3000
(989) 894-6138
Mailing address
324 KILLARNEY BEACH RD, BAY CITY, MI 48706-1185
(423) 503-8874
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704277505
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9306516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101868
AANA
MI
Enumeration date
06/04/2014
Last updated
01/09/2017
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