Individual
JOHN P BLOCKSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
110 BEECH ST, TAWAS CITY, MI 48763-8314
(989) 362-9859
(989) 362-9862
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-0153
(989) 362-4683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101013730
MI
Other
Enumeration date
07/31/2006
Last updated
04/05/2012
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