Individual
DR. NICHOLAS GERALD BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 N CENTER RD STE 300, SAGINAW, MI 48603-7920
(989) 583-7380
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4220
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4351050118
MI
207RP1001X
Pulmonary Disease Physician
Primary
4351050118
MI
Other
Enumeration date
05/16/2018
Last updated
12/08/2025
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