Organization
MARTIN BLANK MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN L BLANK MD (PROVIDER)
(989) 754-3349
Entity
Organization
Contact information
Practice address
4701 TOWNE CENTRE RD, SUITE 202, SAGINAW, MI 48604-2834
(989) 355-1982
(989) 355-1210
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2224
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301058197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703688
BCBSM
MI
01
—
7619035
AETNA
MI
Enumeration date
02/27/2014
Last updated
11/04/2014
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