Individual
HERBERT MILTON BLAIR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1560 E SHERMAN BLVD, WEST SHORE PROFESSIONAL BUILDING, MUSKEGON, MI 49444-1867
(231) 733-4781
(231) 733-8409
Mailing address
1560 E SHERMAN BLVD, WEST SHORE PROFESSIONAL BUILDING, MUSKEGON, MI 49444-1867
(231) 733-4781
(231) 733-8409
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0613381
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706133812
BCBS
MI
05
—
1061584
—
MI
01
—
HB028089
BCBS STATE LICENSE NUMBER
MI
Enumeration date
07/28/2006
Last updated
07/14/2010
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