Individual
ADAM ROBERT BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
8293 WOODCREST DR, GROSSE ILE, MI 48138-1189
(734) 341-4668
Mailing address
8293 WOODCREST DR, GROSSE ILE, MI 48138-1189
(734) 341-4668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
470432094
MI
Other
Enumeration date
12/20/2021
Last updated
04/15/2022
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