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Contact Information

JULIETA G TABLANTE BLANCO, MD
7455 W WASHINGTON AVE STE 301
LAS VEGAS, NV89128-4340
 Phone: 702-732-3441
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JULIETA G TABLANTE BLANCO · (Female)

NPI # 1750377495
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 07/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301078930
  • NV License # 24437
  • MI Medicaid 4485231
  • MI Medicaid 4485240
Hospital affiliation(s)
  • MECOSTA COUNTY MEDICAL CENTER - (Acute Care)
    605 OAK STREET
    BIG RAPIDS, MI 49307
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
  • SPECTRUM HEALTH - REED CITY CAMPUS - (Critical Access)
    PO BOX 75, 300 N PATTERSON
    REED CITY, MI 49677
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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