Organization
MICHAEL WILLIAM BLATT M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WILLIAM BLATT M.D., (PHYSICIAN)
(304) 242-8050
Entity
Organization
Contact information
Practice address
2101 JACOB ST STE 702, WHEELING, WV 26003-3844
(304) 242-8050
(304) 242-8233
Mailing address
2101 JACOB ST STE 703, WHEELING, WV 26003-3844
(304) 242-8050
(304) 242-8233
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
12278
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952429706
RAILROAD MEDICARE
WV
Enumeration date
03/27/2007
Last updated
04/17/2015
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