Individual
JACOB WILLIAM BLANCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3404 W SYLVANIA AVE, TOLEDO, OH 43623-4467
(419) 407-2663
Mailing address
3404 W SYLVANIA AVE, TOLEDO, OH 43623-4467
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.017794
OH
207P00000X
Emergency Medicine Physician
5151015493
MI
Other
Enumeration date
03/30/2022
Last updated
06/26/2025
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