Individual
RENEE JESSIE BLANDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 955-6353
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D43717
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D43717
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183001500
—
MD
Enumeration date
04/22/2006
Last updated
09/22/2022
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