Individual
MICHAEL JOSE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 COOL SPRINGS BLVD STE 140, FRANKLIN, TN 37067-6449
(615) 771-8786
Mailing address
2020 EXETER RD, GERMANTOWN, TN 38138-3945
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
60754
TN
208M00000X
Hospitalist Physician
60754
TN
Other
Enumeration date
03/28/2014
Last updated
06/23/2022
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