Individual
BENJAMIN MICHAEL BLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
77620
WV
367500000X
Certified Registered Nurse Anesthetist
90749
WV
Other
Enumeration date
08/06/2013
Last updated
11/19/2025
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