MICHAEL WARNER BLACKSTONE

BIRMINGHAM, AL
NPI1073720702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-05-16
Last Update Date2011-05-10
Business Address
-- MICHAEL WARNER BLACKSTONE MD
619 19TH ST S
BIRMINGHAM, AL 35249-1900
Phone number: 205-934-5038
Mailing Address
-- MICHAEL WARNER BLACKSTONE MD
2621 KEMP CT
BIRMINGHAM, AL 35226-1982
Phone number: