Individual
AIMEE RENEE MAE BLAGOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2000 EOFF ST, EMP OFFICE, WHEELING, WV 26003-3823
(304) 234-8111
Mailing address
2000 EOFF ST, EMP OFFICE, WHEELING, WV 26003-3823
(304) 234-8111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2529
WV
207P00000X
Emergency Medicine Physician
34-010430
OH
Other
Enumeration date
02/17/2011
Last updated
01/22/2014
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