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NPI Code Detail

MEDICARE: BARBARA LEVINE-BLASE DO

MEDICARE: BARBARA LEVINE-BLASE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician5101008931MI

General Provider Information

NPI Number : 1376523597
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA LEVINE-BLASE DO
Provider Business Mailing Address
First Line : 97 MONROE ST
Second Line :
City : DETROIT
State : MI
Zip : 48226-2855
Country : US
Telephone Number : 313-965-3365
Fax Number : 313-965-3622
Provider Business Practice Location Address
First Line : 2001 S MERRIMAN RD
Second Line : SUITE 100
City : WESTLAND
State : MI
Zip : 48186-5539
Country : US
Telephone Number : 734-727-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/13/2015

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Directions to “ BARBARA LEVINE-BLASE DO” Practice Location

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