Individual
MR. RAYMOND RICHARD BLUSH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, ANN ARBOR, MI 48109
(734) 936-6666
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260717
MI
363LA2100X
Acute Care Nurse Practitioner
4704260717
MI
Other
Enumeration date
02/01/2007
Last updated
07/22/2009
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