Organization
TOWNSHIP OF BLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK PAHL (TOWNSHIP SUPERVISOR)
(231) 276-9263
Entity
Organization
Contact information
Practice address
2121 CO RD 633, GRAWN, MI 49637-9406
(231) 276-9263
Mailing address
2121 CO RD 633, GRAWN, MI 49637-9406
(231) 276-9263
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
281004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106667
—
MI
01
—
590B800060
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/02/2006
Last updated
02/29/2012
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