Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LATISHA BLACKWELL
Active Sole ProprietorMS. LATISHA BLACKWELL is a Podiatric Surgery healthcare provider located in RIVER ROUGE, Michigan. NPI 1871850941 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · RIVER ROUGE, MI
Registration Details
- NPI Number
- 1871850941
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2012 (14.319657606645 yrs)
- Last Updated
- Jul 14, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
58 HILL STRIVER ROUGE, MI, 482181537Browse MI providers · Browse ZIP 48218
- Phone
- 3131382820
- Primary Specialty
-
Podiatric Surgery
3747A0650X
- Additional Specialty
- Foot & Ankle Surgery
- Additional Specialty
- Podiatric Surgery
- Additional Specialty
- Podiatric Surgery
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.