Individual
MR. BLAINE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1136 THREE MILE DR, GROSSE POINTE PARK, MI 48230-1415
(313) 600-0144
Mailing address
1136 THREE MILE DR, GROSSE POINTE PARK, MI 48230-1415
(313) 600-0144
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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