Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS WILLIAM BLANK, M.D.
ActiveDR. NICHOLAS WILLIAM BLANK, M.D. is a Family Medicine healthcare provider located in PRUDENVILLE, Michigan. NPI 1275914244 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PRUDENVILLE, MI
Registration Details
- NPI Number
- 1275914244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2015 (11.16502961094 yrs)
- Last Updated
- Oct 12, 2020
- License
-
4301107544 (MI)
Practice Information
- Address
-
2585 W HOUGHTON LAKE DRPRUDENVILLE, MI, 486519624Browse MI providers · Browse ZIP 48651
- Phone
- 9893662900
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PRUDENVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. VICTOR LUIS DOMINGUEZ | M.D. | 1184711863 |
| VICTORIA CATHERINE WATTERS | MD | 1689163107 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.