Individual
DR. BLAIR DAVID WESTERLY
Active
Individual
DR. BLAIR DAVID WESTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-42582
IA
207RP1001X
Pulmonary Disease Physician
106190
MN
207RP1001X
Pulmonary Disease Physician
55829
MN
207RP1001X
Pulmonary Disease Physician
Primary
MD-42582
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
04/09/2009
Last updated
11/11/2020
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