Individual
DR. GUSTAV ARTHUR BLOMQUIST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 SUNSET DR, GREENSBORO, NC 27408-7214
(336) 273-3536
Mailing address
1110 SUNSET DR, GREENSBORO, NC 27408-7214
(336) 273-3536
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
19100
NC
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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