Individual
DR. MICHAEL BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6370
(320) 255-6454
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6370
(320) 255-6454
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001579
IL
Other
Enumeration date
10/16/2015
Last updated
02/27/2017
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