Individual
KEITH DAVID BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 N SANDUSKY AVE, BUCYRUS, OH 44820-1463
(419) 562-7676
(419) 562-8469
Mailing address
725 N SANDUSKY AVE, BUCYRUS, OH 44820-1463
(419) 562-7676
(419) 562-8469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-03-7333B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246335
—
OH
Enumeration date
09/04/2006
Last updated
05/10/2010
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