DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHAEL ROBERT BLOSTICA

MEDICARE: MICHAEL ROBERT BLOSTICA
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
1225X00000XOccupational Therapist5201009116MI

General Provider Information

NPI Number : 1538712518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ROBERT BLOSTICA
Provider Business Mailing Address
First Line : 24395 BROWNSTONE BLVD
Second Line :
City : MATTAWAN
State : MI
Zip : 49071-7815
Country : US
Telephone Number : 269-377-0892
Fax Number :
Provider Business Practice Location Address
First Line : 23332 RED ARROW HWY
Second Line :
City : MATTAWAN
State : MI
Zip : 49071-9703
Country : US
Telephone Number : 269-283-5673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2019
Last Update Date : 07/19/2019

Similar Medicare Providers

1891794160 — MARTIN FRIEDRICH HOFFMANN MD
Practice Location Address:
23332 RED ARROW HWY
MATTAWAN, MI
49071-9703
Practice Phone: 269-283-5200
Practice Fax: 269-283-5215
1508899238 — BRONSON NURSING AND REHABILITATION CENTER
Practice Location Address:
23332 RED ARROW HWY
MATTAWAN, MI
49071-9703
Practice Phone: 269-283-5200
Practice Fax: 269-283-5215
1619536471 — LARS CHRISTIAN RUSER
Practice Location Address:
23332 RED ARROW HWY
MATTAWAN, MI
49071-9703
Practice Phone: 269-283-5345
Practice Fax:
1982256509 — KATHERINE SOENS OTR/L
Practice Location Address:
23332 RED ARROW HWY
MATTAWAN, MI
49071-9703
Practice Phone: 269-283-5200
Practice Fax:
1255984480 — ANGELA MARIE NONDORF OTR
Practice Location Address:
23332 RED ARROW HWY
MATTAWAN, MI
49071-9703
Practice Phone: 269-283-5200
Practice Fax:
1972156883 — JEANNE MARIE NYSTROM
Practice Location Address:
23332 RED ARROW HWY
MATTAWAN, MI
49071-9703
Practice Phone: 269-283-5349
Practice Fax:

Directions to “ MICHAEL ROBERT BLOSTICA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.