Individual
MICHAEL W BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-6700
(740) 695-5207
(740) 695-4116
Mailing address
106 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-6700
(740) 695-5207
(740) 695-4116
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
12278
WV
207RP1001X
Pulmonary Disease Physician
Primary
35046680
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083278000
—
WV
05
—
0434613
—
OH
Enumeration date
10/28/2005
Last updated
05/05/2020
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