Individual
BRYAN BLATTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(198) 936-2863
(989) 326-8636
Mailing address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(198) 936-2863
(989) 326-8636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802090077
MI
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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