Individual
DR. MICHAEL S BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1912 HAYES AVE, SANDUSKY, OH 44870-4736
(419) 557-6780
(419) 557-6783
Mailing address
1031 PIERCE STREET, SUITE D, SANDUSKY, OH 44870
(419) 557-5541
(419) 557-5542
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-08-6360
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595179
—
OH
Enumeration date
06/05/2006
Last updated
09/11/2012
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