MEDICARE: DR. G BLAIR DOWDEN III M.D.

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
1	207Q00000X	Family Medicine Physician	4301088847	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0740206	OTHER	MI	BCBSM
2	0741095	OTHER	MI	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750379194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. G BLAIR DOWDEN III M.D.

Provider Business Mailing Address
First Line	:	1313 STONE ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3520
Country	:	US
Telephone Number	:	810-985-2620
Fax Number	:	810-962-8290

Provider Business Practice Location Address
First Line	:	1313 STONE ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-3520
Country	:	US
Telephone Number	:	810-985-2620
Fax Number	:	810-962-8290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	04/17/2026

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