Individual
MRS. MARY GAIL BLASIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2335
(734) 769-7100
Mailing address
5759 FOX HOLLOW CT, ANN ARBOR, MI 48105-9510
(734) 997-9394
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704111843
MI
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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