Individual
DR. KAREN SELIN BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
463 E CIRCLE DR, EAST LANSING, MI 48824-7500
(517) 353-8737
(517) 432-9460
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301043893
MI
2084P0800X
Psychiatry Physician
Primary
4301043893
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255377560
—
MI
05
—
4783458
—
MI
Enumeration date
06/22/2006
Last updated
08/12/2016
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