Individual
EDWARD A BLANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19117 ALLEN RD STE A, BROWNSTOWN TWP, MI 48183-1066
(734) 676-4040
(734) 676-9897
Mailing address
20952 E 12 MILE RD, STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-7960
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101010788
MI
Other
Enumeration date
01/18/2007
Last updated
03/10/2022
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