Dr KATHERINE ANN BLACKWELL is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
ST. CLAIR MEDICAL P.C
3436 RIVER RD
EAST CHINA
MI
480542204
Tel: 8103297000
| Npi | 1942570973 |
| Pac Id | 4981863941 |
| Professional Enrollment Id | I20120309000639 |
| Last Name | BLACKWELL |
| First Name | KATHERINE |
| Middle Name | ANN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST. CLAIR MEDICAL P.C |
| Group Practice Pac Id | 1850295916 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 3436 RIVER RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST CHINA |
| State | MI |
| Zip Code | 480542204 |
| Phone Number | 8103297000 |
| Hospital Affiliation Ccn 1 | 230031 |
| Hospital Affiliation Lbn 1 | LAKE HURON MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 230216 |
| Hospital Affiliation Lbn 2 | MCLAREN PORT HURON |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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