Individual
DR. GEORGE B BLOSSOM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2526 N REYNOLDS RD, TOLEDO, OH 43615-2820
(419) 537-1485
Mailing address
3428 AMBERWOOD LN, TOLEDO, OH 43617-1186
(419) 841-5210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34001252
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0784754
—
OH
01
—
34001252
LICENSE NUMBER
OH
Enumeration date
05/19/2006
Last updated
07/08/2007
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