Individual
DR. KARLA AURORA BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, ANN ARBOR, MI 48109-5020
(734) 996-4747
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
4301067633
MI
2084P0800X
Psychiatry Physician
Primary
4301067633
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2608116671
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/25/2005
Last updated
09/30/2009
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