Individual
BARBARA LEVINE-BLASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2001 S MERRIMAN RD, SUITE 100, WESTLAND, MI 48186-5539
(734) 727-1000
Mailing address
97 MONROE ST, DETROIT, MI 48226-2855
(313) 965-3365
(313) 965-3622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008931
MI
Other
Enumeration date
01/23/2006
Last updated
07/13/2015
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