Organization
CERASMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GLEN BLASCHKE II MD (MANAGER)
(615) 979-9453
Entity
Organization
Contact information
Practice address
5400 MARYLAND WAY STE 100, BRENTWOOD, TN 37027-5048
(615) 979-9453
Mailing address
5400 MARYLAND WAY STE 100, BRENTWOOD, TN 37027-5048
(615) 979-9453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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