Individual
MICHAEL CHRISTOPHER BLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Mailing address
211 HIGHLAND AVE, PUNXSUTAWNEY, PA 15767-2415
(814) 952-1347
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059947
PA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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