Individual
DR. MICHAEL WILLIAM BLAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 CAPITOL ST, CONCENTRA MEDICAL CENTER -- AUGUSTA, AUGUSTA, ME 04330-6235
(207) 629-5005
Mailing address
219 CAPITOL ST, CONCENTRA MEDICAL CENTER -- AUGUSTA, AUGUSTA, ME 04330-6235
(207) 629-5005
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017743
ME
207X00000X
Orthopaedic Surgery Physician
K9732
TX
Other
Enumeration date
10/23/2006
Last updated
12/29/2011
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