Edward A Blanzy, DO | |
19117 Allen Rd Ste A, Brownstown Twp, MI 48183-1066 | |
(734) 676-4040 | |
(734) 676-9897 |
Full Name | Edward A Blanzy |
---|---|
Gender | Male |
Speciality | Urology |
Location | 19117 Allen Rd Ste A, Brownstown Twp, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740332600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 5101010788 (Michigan) | Primary |
Entity Name | Michigan Institute Of Urology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
Entity Name | Scheurer Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104016849 PECOS PAC ID: 1456242296 Enrollment ID: O20040827000155 |
Mailing Address | Practice Location Address |
---|---|
Edward A Blanzy, DO 20952 E 12 Mile Rd, Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820 | Edward A Blanzy, DO 19117 Allen Rd Ste A, Brownstown Twp, MI 48183-1066 Ph: (734) 676-4040 |
Mark Pressprich, Urology Medicare: Medicare Enrolled Practice Location: 19117 Allen Rd Ste A, Brownstown Twp, MI 48183 Phone: 734-676-4040 Fax: 734-676-9897 | |
David Warren Law, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 19117 Allen Rd Ste A, Brownstown Twp, MI 48183 Phone: 734-676-4040 Fax: 734-676-9897 |