Scott Anthony Blackburn is a Primary Care Nurse Practitioner based in Southgate, MI and is specialized in Primary Care. Scott Anthony Blackburn practices in Southgate, MI and has the professional credentials of NP. The NPI Number for Scott Anthony Blackburn is 1003554494 and holds a License No. 4704326782 (Michigan).
The current practice location address for Scott Anthony Blackburn is 15150 Fort St, Southgate, MI and can be reached out via phone at 734-282-4800 and via fax at 734-282-9302.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704326782 | 01 | MI | STATE LICENSE |
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