SearchMichigan101YM0800X

Jay Blazius

NPI 1215630025 · on the registry since 2023 · sole proprietor

Practice

Address
47252 Grand Cypress Ct
Macomb, MI 48044
Phone
(586) 872-5111

Additional practice sites

  • 44444 Hayes Rd, Clinton Township, MI

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-22

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