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BLANZY CLINIC NPI 1295808426


NPI Information

NPI: 1295808426
Provider Name: BLANZY CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14319 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 285-0677
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BLANZY CLINIC is a family medicine in Southgate, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLANZY CLINIC NPI is 1295808426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14319 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195-506
Phone: (734) 285-0677
Fax: (734) 285-3574

The provider's authorized official is John E Blanzy .
The authorized official title is President and has the following contact phone number (734) 285-0677.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 2/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101011136MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11164462347OTHERMICHIGANINDIVIDUAL NPI #
21629017207OTHERMICHIGANNPI INDIVIUAL #
31134169444OTHERMICHIGANNPI INDIVIDUAL NUMBER
41710926399OTHERMICHIGANINDIVIDUAL NPI #
5OH24773MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE GROUP PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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