Individual
STEVEN ERIC BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301111523
MI
207X00000X
Orthopaedic Surgery Physician
Primary
89173
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25843
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02887511
—
MS
01
—
687245
MEDICARE
MS
Enumeration date
03/26/2012
Last updated
07/26/2021
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