Individual
IVAN BLEHINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 BRETON RD SE, GRAND RAPIDS, MI 49512-1745
(616) 243-4336
Mailing address
2017 BURTON KNOLL CT SE, GRAND RAPIDS, MI 49546-8262
(616) 446-7487
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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