Organization
HANS BLAAKMAN DPM LLC
Active
Other names
Upstate Footcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANS E BLAAKMAN DPM (OWNER)
(864) 586-3131
Entity
Organization
Contact information
Practice address
269 NORTH GROVE MEDICAL PARK DRIVE, SPARTANBURG, SC 29303-4222
(864) 586-3131
(864) 586-3200
Mailing address
269 NORTH GROVE MEDICAL PARK DRIVE, SPARTANBURG, SC 29303-4222
(864) 586-3131
(864) 586-3200
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00564
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO4851
RAIL ROAD MEDICARE GROUP PTAN #
SC
05
—
GP9902
—
SC
Enumeration date
07/02/2008
Last updated
06/30/2021
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