Individual
MICHELLE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5500 N MEADOWS DR, GROVE CITY, OH 43123-7687
(614) 488-1816
(614) 488-0390
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 488-1816
(614) 488-0390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003380
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068170
—
OH
Enumeration date
09/28/2011
Last updated
12/31/2024
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