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Contact Information

DAVID W BLODGETT MD PLLC
375 BARCLAY DR.
ROCHESTER HILLS, MI48307
 Phone: 248-852-3636
 Fax: 248-852-3631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAVID W BLODGETT MD PLLC

NPI # 1790052082
LBN Legal business name DAVID W BLODGETT MD PLLC
Authorized official DAVID BLODGETT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2011
Last updated 11/30/2011 - About 15 years ago
Identifiers
MI License # 4301075561
MI Medicaid 005491912
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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