Individual
MICHAEL L BLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 PARKMAN ST, WANG 528, BOSTON, MA 02114-3117
(617) 726-4530
(617) 726-6131
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
242751
MA
208800000X
Urology Physician
27812
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219720100
—
MN
Enumeration date
01/31/2006
Last updated
11/25/2015
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