Individual
BENJAMIN MICHAEL BLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
145 KINGSTON DR, BRIDGEPORT, WV 26330-1588
(434) 996-6303
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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