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Individual

DR. DAVID BLISSENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 454-4394
(740) 454-4681
Mailing address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 454-4394
(740) 454-4681

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35049119
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0602833
OH
Enumeration date
08/01/2006
Last updated
11/04/2009
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