Organization
DAVID W BLODGETT, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BLODGETT M.D. (OWNER)
(248) 761-5573
Entity
Organization
Contact information
Practice address
839 RANDALL CT, BIRMINGHAM, MI 48009-1368
(248) 761-5573
(248) 593-9567
Mailing address
839 RANDALL CT, BIRMINGHAM, MI 48009-1368
(248) 761-5573
(248) 593-9567
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
4301075561
MI
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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