SearchMichigan1223G0001X

Peter Blackburn, DDS

NPI 1659438075 · on the registry since 2007 · sole proprietor

Practice

Address
1817 Ruddiman Dr
North Muskegon, MI 49445
Phone
(231) 744-2458
Fax
(231) 744-3423

Registry record

Primary taxonomy
1223G0001X
1223G0001X
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