Individual
BLAINE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
555 W WACKERLY ST, SUITE 2600, MIDLAND, MI 48640-4722
(989) 835-8865
(989) 492-7839
Mailing address
555 W WACKERLY ST, SUITE 2600, MIDLAND, MI 48640-4722
(989) 835-8865
(989) 492-7839
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006775
MI
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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