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Search › Michigan › Perfusionist

Jacob Blackmon, CCP

NPI 1053130930 · on the registry since 2024

Practice

Address
45211 Helm St.
Plymouth, MI 48170
Phone
(480) 777-0900
Fax
(480) 777-1345
Organisation at this address
Ccs-Oakland Llc
Cnm Neurocare Pllc
Cnm Health Services Llc
Cnm Neurocare South Pllc
Comprehensive Care Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
837

Registry record

Primary taxonomy
Perfusionist
242T00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-26
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan