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Contact Information

JOHN E BLANZY, DO
14319 DIX-TOLEDO RD
SOUTHGATE, MI48195
 Phone: 734-285-0677
 Fax: 734-285-3574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN E BLANZY · (Male)

NPI # 1629017207
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/06/2006
Last updated 10/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101004825
  • MI Medicaid 111182991
  • Other 107352 CARE CHOICES
  • Other DR820558 M-CARE
  • MI Other 5820194 BCBSM
Hospital affiliation(s)
  • OAKWOOD HERITAGE HOSPITAL - (Acute Care)
    10000 TELEGRAPH ROAD
    TAYLOR, MI 48180
  • OAKWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    18101 OAKWOOD BLVD
    DEARBORN, MI 48124
  • OAKWOOD SOUTHSHORE MEDICAL CENTER - (Acute Care)
    5450 FORT STREET
    TRENTON, MI 48183
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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