Individual
MICHAEL WILLIAM BLUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, 3 SOUTH, CINCINNATI, OH 45219-2364
(513) 585-5502
(513) 585-5511
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35086484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200801670
—
IN
05
—
2598363
—
OH
Enumeration date
06/02/2006
Last updated
05/26/2017
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