MEDICARE: HANS BLAAKMAN DPM

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	213ES0131X	Foot Surgery Podiatrist	564	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912950056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANS BLAAKMAN DPM

Provider Business Mailing Address
First Line	:	269 N GROVE MEDICAL PARK DR
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29303-4222
Country	:	US
Telephone Number	:	864-586-3131
Fax Number	:	864-586-3200

Provider Business Practice Location Address
First Line	:	269 N GROVE MEDICAL PARK DR STE A
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29303-4222
Country	:	US
Telephone Number	:	864-586-3131
Fax Number	:	864-586-3200

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	01/24/2022

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Directions to “ HANS BLAAKMAN DPM” Practice Location

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