Individual
DR. MICHAEL ANDREW BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-9000
Mailing address
1043 LAKE GROVE AVE SE, GRAND RAPIDS, MI 49506-3555
(616) 490-8269
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101022509
OSTEOPATHIC - EDUCATIONAL LIMITED
MI
Enumeration date
06/02/2016
Last updated
02/20/2023
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