John Joseph Blase in Detroit - Diagnostic Radiology
John Joseph Blase - NPI 1053512459
John Joseph Blase is a Diagnostic Radiology in Detroit, Michigan. John Joseph Blase practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for John Joseph Blase is 1053512459. The last update date is 2012-04-03.
John Joseph Blase's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139162600. The mailing address for John Joseph Blase is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Blase |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139162600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053512459 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2012-04-03 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139162600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 4301083968 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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What is the unique 10-digit identification code assigned to John Joseph Blase by the Centers for Medicare & Medicaid Services?
The John Joseph Blase has been issued the NPI (National Provider Identifier) 1053512459, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Joseph Blase's physical address?
The John Joseph Blase is physically located at 2799 W Grand Blvd, in the city of Detroit, MI, with the postal code 482022608.
What is the John Joseph Blase's specialty and taxonomy code?
The John Joseph Blase's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
When did John Joseph Blase receive its 1053512459 assignment?
The John Joseph Blase was assigned its 1053512459 on 2007-05-31, which is the date when this unique identifier was issued to the organization.
When was the John Joseph Blase's information last updated?
The John Joseph Blase's information was last updated on 2012-04-03.