Individual
DR. DONALD GLEN BLASCHKE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 W WALNUT ST, SMITHVILLE, TN 37166-1326
(615) 979-9453
(615) 576-1214
Mailing address
118 W WALNUT ST, SMITHVILLE, TN 37166-1326
(615) 979-9453
(615) 576-1214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
155690
FL
207P00000X
Emergency Medicine Physician
58584
TN
207P00000X
Emergency Medicine Physician
K2650
TX
207Q00000X
Family Medicine Physician
Primary
58584
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122165711
—
TX
05
—
122165712
—
TX
05
—
122165713
—
TX
05
—
1314773
—
LA
01
—
8AP260
BCBS
TX
01
—
8F8875
BCBS
TX
Enumeration date
07/21/2006
Last updated
04/24/2026
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