NPI 1699736280 · live from the CMS NPI Registry
Joseph R Blodgett, M.D.
Pediatrics, Adolescent Medicine in Holland, MI. National Provider Identifier 1699736280, active.
NPI record
| NPI | 1699736280 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424 |
| Practice phone | 616-494-5840 |
| Mailing address | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 |
| Enumerated | March 31, 2006 |
| Last updated | March 4, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 4301056079 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.