Individual
DR. NEAL BENJAMIN BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 W 13 MILE RD STE 707, ROYAL OAK, MI 48073-6770
(248) 551-0487
(248) 551-3696
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301085217
MI
2080P0210X
Pediatric Nephrology Physician
Primary
4301085217
MI
Other
Enumeration date
03/19/2007
Last updated
10/23/2020
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