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Michael Blackburn, ATC
NPI 1205057296 · on the registry since 2007
Practice
- Address
- 210 Sports Dr
Big Rapids, MI 49307 - Phone
- (231) 591-2872
- Organisation at this address
- Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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