John David Blaha, MD | |
24 Frank Lloyd Wright Dr, Lobby A, Ann Arbor, MI 48105-9484 | |
(734) 930-7400 | |
Not Available |
Full Name | John David Blaha |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 24 Frank Lloyd Wright Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013017854 | NPI | - | NPPES |
4463969 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301034122 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457384067 PECOS PAC ID: 3779496856 Enrollment ID: O20031118000618 |
Mailing Address | Practice Location Address |
---|---|
John David Blaha, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | John David Blaha, MD 24 Frank Lloyd Wright Dr, Lobby A, Ann Arbor, MI 48105-9484 Ph: (734) 930-7400 |
Elizabeth Ann Dailey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Davin Gong, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Kempland Walley, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Vandan Dilip Patel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2098 S Main St, Ann Arbor, MI 48103 Phone: 734-936-5780 | |
Aditya Muralidharan, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Nicholas Farrar, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 |