Dr MICHAEL A BLACKBURN is a male medical professional, specializing in Family Medicine. He graduated in 2013.
GROUP HEALTH PLAN INC
2500 COMO AVE
SAINT PAUL
MN
551081460
Tel:
Npi | 1619389525 |
Pac Id | 8729378260 |
Professional Enrollment Id | I20160613000266 |
Last Name | BLACKBURN |
First Name | MICHAEL |
Middle Name | A |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2013 |
Primary Specialty | FAMILY MEDICINE |
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Organization Legal Name | GROUP HEALTH PLAN INC |
Group Practice Pac Id | 1759293954 |
Number Of Group Practice Members | 1339 |
Line 1 Street Address | 2500 COMO AVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | SAINT PAUL |
State | MN |
Zip Code | 551081460 |
Phone Number | |
Hospital Affiliation Ccn 1 | 240053 |
Hospital Affiliation Lbn 1 | PARK NICOLLET METHODIST HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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