Individual
DR. BRYAN DREW BLITSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 MEDICAL PARK RD STE 108, MOORESVILLE, NC 28117-8529
(704) 660-4040
(704) 660-4884
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9700865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910672
—
NC
Enumeration date
12/15/2005
Last updated
11/04/2025
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