NPI 1245921576 · live from the CMS NPI Registry
Michael William Blomquist, DO
Family Medicine in Cheyenne, WY. National Provider Identifier 1245921576, active.
NPI record
| NPI | 1245921576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 820 E 17th St, Cheyenne, WY 82001 |
| Practice phone | 307-632-2434 |
| Enumerated | May 17, 2023 |
| Last updated | July 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 223-T2 (WY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.