Individual
MICHAEL R BLUMHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-7000
(541) 789-4281
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4803
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38561
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45596
CO
207RP1001X
Pulmonary Disease Physician
38561
TN
207RP1001X
Pulmonary Disease Physician
45596
CO
207RP1001X
Pulmonary Disease Physician
Primary
M-11294
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725122
—
TN
05
—
3893441
—
TN
01
—
4088388
BCBS TN
TN
01
—
P00156912
RAILROAD MEDICARE
TN
Enumeration date
12/13/2006
Last updated
04/25/2023
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