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1477597326
GERALD W BLACKBURN
FARMINGTON HILLS, MI
NPI
1477597326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: MI 5101006566)
Enumeration Date
2006-06-15
Last Update Date
2020-11-17
Business Address
GERALD W BLACKBURN DO
28080 GRAND RIVER AVE STE 306
FARMINGTON HILLS, MI 48336-5966
Phone number: 947-521-8314
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Mailing Address
GERALD W BLACKBURN DO
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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