Individual
DAVID E BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4306
(616) 685-8450
(616) 458-3526
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(161) 668-5180
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301042504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2994936
—
MI
05
—
4194566
—
MI
05
—
4878515
—
MI
Enumeration date
05/18/2006
Last updated
06/26/2009
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