SCOTT ANTHONY BLACKBURN

SOUTHGATE, MI
NPI1003554494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: MI  4704326782)
Enumeration Date2022-05-25
Last Update Date2024-04-12
Business Address
SCOTT ANTHONY BLACKBURN NP
15150 FORT ST
SOUTHGATE, MI 48195-1302
Phone number: 734-282-4800
Mailing Address
SCOTT ANTHONY BLACKBURN NP
15150 FORT ST
SOUTHGATE, MI 48195-1302
Phone number: 734-282-4800
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