Individual
JOHN BLEBEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 S WASHINGTON AVE, SAGINAW, MI 48601-2564
(918) 744-3523
(918) 744-3463
Mailing address
1000 HOUGHTON AVE., SAGINAW, MI 48602
(989) 583-6800
(989) 583-6955
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28809
OK
208600000X
Surgery Physician
4301111451
MI
2086S0129X
Vascular Surgery Physician
28809
OK
2086S0129X
Vascular Surgery Physician
Primary
4301111451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016666360006
—
PA
05
—
0828297
—
OH
Enumeration date
10/13/2005
Last updated
03/31/2021
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