Brice William Blatz in Grand Rapids - Surgery

Brice William Blatz - NPI 1770745309

Brice William Blatz is a Surgery in Grand Rapids, Michigan. Brice William Blatz practices all healthcare services and medical treatments related to Surgery. The NPI Number for Brice William Blatz is 1770745309. The last update date is 2021-03-10.

Brice William Blatz's current location address is 221 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163911405 and fax number 6163918611. The mailing address for Brice William Blatz is 221 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Brice William Blatz
Address 221 Michigan St Ne, Grand Rapids, Michigan
Phone Number 6163911405
Fax Number 6163918611
Sole Proprietor Y
Credentials MD, MS

NPI Number Detail

NPI Number 1770745309
Provider Enumeration Date 2008-06-25
Last Updated Date 2021-03-10

Provider Mailing Address Detail

Address 221 Michigan St Ne
City Grand Rapids
State Michigan (MI)
Post Code 495032543
Phone Number 6163911405
Fax Number 6163918611

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 4301092779
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LL2132 NV REG. MEDICAL LIC.

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FAQs about Brice William Blatz

What is the unique 10-digit identifier code issued to Brice William Blatz by the Centers for Medicare & Medicaid Services?

The Brice William Blatz has been assigned the NPI (National Provider Identifier) 1770745309 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Brice William Blatz located?

The Brice William Blatz is located at 221 Michigan St Ne, Grand Rapids, MI 495032543.

What is Brice William Blatz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brice William Blatz is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date was the 1770745309 assigned to Brice William Blatz?

The Brice William Blatz was issued its 1770745309 on 2008-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Brice William Blatz most recently updated or refreshed?

The details pertaining to the Brice William Blatz, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-10.

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